| Premier Comp Solutions
researched, developed, and designed its own proprietary workers’
comp repricing software to ensure the quality, accuracy, and the
cost effectiveness of our medical bill review services.
Our repricing services include:
- Repricing medical bills according to state mandated and usual
and customary fee schedules.
- Comprehensive review of medical bills and healthcare providers’
documentation to assure billed charges are supported. In conjunction
with fee schedule savings, this service provides our clients with
significant, additional savings.
- Access to the FOCUS
and Aetna
Workers' Comp Access PPO Networks which further reduces the
cost our clients must pay for medical services.
- Customization of Explanations of Review to meet the needs of
our clients.
- In-depth training sessions for in-house repricing departments
to increase their medical bill review knowledge, efficiency, accuracy,
and most importantly, cost savings.
Our auditing services include:
- Evaluating the accuracy and effectiveness of our clients’
current repricing services to determine if healthcare providers
have been correctly reimbursed. The results of our audits have
often uncovered that healthcare providers have been grossly overpaid
due to inaccurate repricing and lack of medical bill review.
- Providing comparisons between the savings our clients’
realize through their current PPO network vs. the potential savings
they would realize through the FOCUS / Aetna PPO network as well
as our own proprietary physical therapy and diagnostic network.
- Assisting in the request of refunds from healthcare providers
when it has been determined that they have been overpaid.
If you are interested in obtaining more information and references
regarding our repricing and medical bill review services, please
contact:
Linda J. Schmac
President
(412) 494-4001
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