bill review

59 Modifier Medical Bill Controversy Causes CMS To React

59 Modifier Medical Bill Confounds CMS   The 59 Modifier Medical Bill Controversy.A friend of mine forwarded a note on how medical bills could have be over-inflated by the use of what is known as a 59 modifier.  Her company does not use that modifier. According to Optum – a medical

Negotiated Bill Review – Saves Big $$ With Right Provider

Negotiated Bill Review – Rarely Mentioned Risk Management Technique The Negotiated bill review is rarely mentioned even by providers of the service.   I often phone consult with investment companies examining the Workers Comp market to see if it is a viable area of insurance.  The usual inquiring questions are

Bill Review Companies PPO or MPN Networks Worth Their Fees?

Bill Review Companies – A Hot Topic in Risk Management The Bill review companies and their PPO or MPN network  created a large amount of positive buzz until recently.  Some have come into question over the past few months. One of the most popular requests we receive is to analyze

Workers Comp Self Insureds – Five New Years Resolutions

Workers Comp Self Insureds – Great Way To Start The Work Comp New Year Five new years resolutions for Workers Comp Self Insureds are listed below.  .When talking about Workers Comp premiums, self insureds are often left out in the cold.  Self insureds do not pay premiums for Workers Comp.

Workers Compensation Bill Review Charges Can Be Expensive

Insurance Company and TPA Workers Compensation Bill Review Charges Workers Compensation bill review fees  can be exorbitant.  The fees an employer’s TPA or insurance company charge for bill review have always been one of my sore spots when we do reserve and/or claims handling reviews for employers. This is an

Most Workers Comp Bill Review Overcharges Need To Be Examined

Workers Comp Bill Review Charges Workers Comp bill review can be a very important risk management technique.  One of the most controversial areas in Workers Comp from what we have observed is when the carrier or TPA charges an employer to do their Workers Comp bill review. We have seen overcharging

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