Cost Containment Services - Bill Review

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Medical billing is one of today's most complicated systems. With thousands of procedures complicated by fee schedules, regulations, PPO contracts, coding compliance, payment rules and exceptions, it can be overwhelming.
The bottom-line for payers is that if you are not diligent in the bill review process, you may pay substantially more than is necessary.

We conduct thorough reviews, carefully analyzing the medical provider's statements. Billed amounts are evaluated using state-adopted fee schedules, national PPO networks, experienced bill review analysis and our own proprietary database, Although we have a state-of-the-art bill review engine, our line-by-line secondary audits by seasoned specialists create true and defendable savings. Lien On Me, Inc.'s bill review program includes:

  • FEE SCHEDULE REVIEWS
  • USUAL AND CUSTOMARY REVIEWS 
  • PROSPECTIVE NEGOTIATIONS
  • ACCESS TO NATIONAL PPOS 
  • PROVIDER INQUIRY RESPONSES AND RESOLUTIONS
  • PAPERLESS IMAGING AND SCANNING CAPABILITIES
  • NO CHARGE FOR DUPLICATE BILLS
  • 5-DAY TURNAROUND TIME OR LESS
  • MANAGEMENT/CUSTOM REPORTING
  • EXPERT WITNESS AND DEFENSE CAPABILITIES

Additional services offered:
TURNAROUND TIME:  Lien On Me, Inc. offers 3-5 day turnaround.  Our current average time is less then two days.  

SOFTWARE INTERFACES:  We have developed data import/export programs for every major claim software system.

REPORTING:  We recognize that reporting is a vital tool for managing your cost containment program.  Our systems provide the ability to perform frequency and cost analysis reporting as well as a host of tailor made reports.

ONLINE ACCESS:  Our customers are able to directly access to key economic data and many of our reports including EOR’s are on-line 24/7/365.

QUALITY ASSURANCE:  We provide you with several layers of reviewing and auditing procedures and protocols.

PRICING:  We are prepared to offer you the most competitive pricing available while maintaining high level of quality.