Medical Bill Review
At Preferred Medical, we deliver comprehensive medical bill review services that combine advanced technology with expert analysis. Our experienced professionals ensure accurate, consistent, and compliant results while maximizing savings for your workers’ compensation program.
Why Choose Preferred Medical for Medical Bill Review?
Bill Intake and Data Capture
Our mailroom services streamline medical bill processing with accurate, automated data capture that reduces manual entry time and errors
Multi-Level Review Process
Each bill undergoes a rigorous multi-tier review with automated fee schedule and benchmark repricing, coding rules, and utilization review to ensure compliance and maximize savings
PPO & Specialty Networks
We offer multiple PPO & Specialty network options that provide discounts below the official medical fee schedule to ensure maximum coverage and optimal savings
State-Specific Expertise
Deep expertise in each state's unique medical fee schedules, treatment guidelines, and billing protocols ensures precise and compliant bill review from coast to coast
Clinical Excellence
Our team of registered nurses and certified coders leverage deep clinical expertise to ensure accurate coding, appropriate care validation, and optimal reimbursement outcomes
Data-Driven Insights
Turn bill review data into actionable intelligence with intuitive dashboards, trend analysis, and performance metrics
Rapid Processing
Our Comprehensive Bill Review Services
Access comprehensive insights through:
- Standard and custom reports
- Real-time dashboards
- Savings analysis
- Trend identification
- Provider performance metrics
We manage all incoming documents through:
- Physical mailroom services for paper submissions
- Electronic bill processing via clearinghouse
- Direct receipt options from providers and clients
- Secure sFTP and email document transfer
- High-quality document imaging and conversion
- Automated data validation and indexing
- Proprietary accuracy checking rules
- Streamlined integration with review workflow
We ensure accurate data processing through:
- Automated document digitization and OCR
- Intelligent content labeling and classification
- Claim record indexing and matching
- Provider verification and assignment
- Complete bill and line-level extraction
- Provider communication management
We maximize savings and ensure compliance through:
- State-specific fee schedule application
- Automated compliance checking
- Duplicate detection systems
- Complex bill and chart review audits
- Direct provider negotiations
- PPO network integration
- Pharmacy and ancillary care services integration
- Utilization review integration
- Detailed explanation of reviews
We maximize savings by:
- Seamlessly applying network discounts
- Managing provider relationships
- Ensuring appropriate reimbursement levels
- Reducing out-of-network costs
We streamline claims payments through:
- Medical and non-medical payment options
- Electronic funds transfer capabilities
- Digital remittance advice delivery
- Customer and indemnity processing
- Vendor disbursement management
- Automated check generation
- Multi-channel payment delivery
- Secure transaction monitoring
We streamline claims payments through:
- Medical and non-medical payment options
- Electronic funds transfer capabilities
- Digital remittance advice delivery
- Customer and indemnity processing
- Vendor disbursement management
- Automated check generation
- Multi-channel payment delivery
- Secure transaction monitoring
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Our commitment to excellence ensures you receive accurate, compliant bill review services that maximize savings while maintaining high-quality care for injured workers.
compensation program.