Medical Bill Review Services
MediCall has developed Medical Bill Review solutions that integrate into your existing business model or can provide a turn-key service independently. Our highly trained bill review specialists and clinical professionals are capable of providing a complete service bureau solution or a fractional component solution. MediCall supplements your existing resources to improve timeliness, productivity and, most importantly, deliver superior savings and outcomes at a reduced cost.
Complete Service Offering
MediCall's bill review service bureau provides industry leading technology combined with clinical and regulatory expertise to deliver superior results to our customers. Our approach identifies inaccurate, inappropriate and excessive charges on medical bills by integrating an array of saving methodologies as well as automated customized client processing rules into the adjudication process.
- Fee Schedule/Usual and Customary
- Complex Bill Review
- Nurse/Clinical Review
- Specialty Medical Bill Review
- Out of Network Negotiation
- Application of Utilization Review Determinations
- National/Regional PPO and Ancillary Medical Network Coverage
- Application of customized network solutions
- CA MPN and TX HCN
- E-Billing
Component Outsourcing
MediCall's Medical Bill Review component outsourcing model provides complete flexible solutions to customers medical bill review programs. Remotely accessing our client's platform via our secure site, MediCall can augment your clinical and non-clinical staff to maximize the outcomes that you provide your clients.
Our flexibility allows our customers to choose where MediCall can integrate into their existing programs while continuing to differentiate themselves in the market place. Components that MediCall can perform on your behalf are as follows:
- Fee Schedule/Usual and Customary
- Complex Bill Review
- Nurse/Clinical Review
- Utilization Review Determinations
- Appeals/Reconsiderations
- Provider Relations Support Services
