PremierComp Solutions, LLC
Medical Bill Review and Repricing Services
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Medical Bill Review and Repricing Services

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