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 – 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 – 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 – 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.
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
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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