Acrometis is known as the industry leader in automated workers’ compensation and auto liability insurance claims processing solutions. While you may be familiar with our efficient claims processing capabilities, did you know that we also offer unrivaled bill review and re-pricing solutions?
With our Bill Review services, you can say goodbye to manual data entry and multiple systems. At the same time, you’ll dramatically reduce bill review charges and ensure all charges are valid while meeting jurisdictional requirements. Our Bill Review system automatically evaluates bills on a line-level based on the injury, associated body parts, and provider billing for the claimant then reduces provider charges to fee schedule or UCR. If necessary, we perform manual audits on bills that require further review before validation. Time-stamped decisions and actions are taken on bills for audit purposes. Bill review is available either as a single platform or bundled with optional features.
Our systems also highlight what WON’T happen at Bill Review after implementation. Catching duplicates, checking for incomplete information, and completing provider returns all cost additional fees. Our systems can avoid these additional services – and the additional fees – altogether by stopping “bad bills” at the source to save time and money in your claims organization.
If your organization is among the insurers that allow medical-only bills to bypass their adjusters and go straight to bill review, you might be saving your adjusters some time, but if bill review gets backed up and doesn’t pay a bill in a timely manner, a provider will submit their bill again thinking it was lost along the way. Bill review might end up paying that bill twice. Even if they do catch a duplicate or bill with incomplete information, providers will charge you to send it back.
Use a system that filters bad bills before they are sent to bill review and rejected there for a fee. Use a system that scans and tags every incoming document to ensure you are working with high-fidelity data that can be applied in all aspects of your business. Acrometis has that system.
Acrometis offers an additional re-pricing negotiation service and complex bill review to help you save on medical expenses that are outside of the savings options your current bill review solution may provide. Our system accesses medical bill images from your mailroom or image/claim system and converts the data, exporting all images and repriced data back into your claim system. In fact, our solution can scan and intelligently route all incoming pieces of mail, incorporating the operation and functionality of your mailroom into our services.
Stop paying more than you should in medical costs. Our expertise for determining compensability is unparalleled.
Learn more about Acrometis and our Bill Review, Negotiation and Complex Review solutions today at Acrometis.com. To learn more about how Acrometis can improve your workers’ comp operations, contact us at info@acrometis.com.