Risk Administration Associates - Medical Bill Review

Medical Bill Review

Beyond the 50+% in savings for the medical bill review lies network discounts and the time invested on each individual claim maximizes resources.

Employing a series of safeguards, several companies are successfully achieving $1,500.00 to $2,000.00 average claim cost by closely monitoring from date of onset to minimize costly overuse of medical services. This proactive strategy, with other tools available to Risk Administration Resources, enables you to realize the same results.

As with our current clients, we will put forth every effort to maximize the savings for you.

Well-established proficiency:


	With over 30 years experience in multiple state Workers’ Compensation Medical Bill Review and able to accommodate both subscription and nonsubscription in Texas, we can state your risk administration is made easy. We are continually monitoring industry changes. Experience with several nationally known Preferred Provider Organizations - allows for a more complete package. We are able to maximize savings through the knowledge of unbundling, utilization, and diagnosis versus procedure billed and understanding surgical reports to name a few. Working closely with the Case and Claim Managers ensures a medical bill received is compensable within jurisdictional guidelines.
	Additionally we can supply enhanced services for expediting the whole claims process. We have State required announcements for Texas and other procedural forms to contribute to initializing the claim. Supplemental assistance comes in the form of Claims Oversight, Investigation, Case Management and supporting services.
	We are in the business of assisting with Risk Administration and your business should not be hindered by this daunting task.

Actual services:


	We can re-price medical bills across the board including; Physician, Facility and Pharmacy with our knowledge in multiple states, to include the application of fee schedules and jurisdictional regulations.
	Pre-authorization assistance for nonsubscribers is available - we have the capability for achieving signed authorizations for surgeries and hospital visits.
	We can contribute essential forms such as Employers Accident reports, Witness Statements, Supervisor Investigations etc. to the systems you already have implemented.
	Further enhancements through WilliamsRipa & Associates, LLC that assist in controlling claim costs are as follows:

		File reviews for case-by-case strategy to reduce the cost or close claims.
		Investigations as a means to ensure the claim is legitimate and that the reserves are appropriate.
		Claims oversight used to follow-up on the more problematic claims to attain finality.
		Peer reviews to determine the legitimacy of the claim and treatment plan is reasonable and necessary.
		Case management, as tool to monitor the medical procedures used, is appropriate and necessary to the compensable injury.

Money savings:
Beyond the 50+% in savings for the medical bill review lies network savings and the time invested on each individual claim maximizes savings. As you are aware claims have a way of getting lost in the shuffle, inevitably incurring high costs. As a means of shunning this dilemma, we utilize a series of alerts. Several companies are successfully achieving a $2,000.00 average claim cost by closely monitoring from date of onset which minimizes costly overuse of medical services. This proactive strategy, with other tools available to Risk Administration Resources, enables you to realize the same results. Reporting injuries is critical to overall cost containment. It is essential that the injured employee be routed to an appropriate network physician or facility that will assist in getting them back into the workplace quickly. We provide the supervision, training and materials to achieve these goals.

Responsiveness:
At Risk Administration Resources we have a unique perspective on interacting with our clients to obtain desired results. Workers compensation is a dynamic and constantly changing industry and together we can fulfill upcoming needs or trends. Client interaction is essential to keep us on the cutting edge of cost containment - we value your input. Any special situation will receive a priority status.

Summation:
	Risk Administration Resources is providing a comprehensive list of services designed to save on your labor related injuries costs.
	Medical bill review is one key for keeping costs reduced by effectively monitoring each medical bill.
	Professional claims handling minimizes the misappropriation of medical services and renders different avenues to conclude the claim.
	Client support services are an integral element keeping total cost manageable, they include workplace Safety Inspections, Investigations, Peer Reviews, Case Management and Claims Oversight.

Presently we are altering the future of claims handling. We can be reached at 972 931-8476.