BILL REVIEW

SCS Bill Review:
  • Address all provider charges, including physician, dentist, therapist, chiropractic, surgical, laboratory, radiology, hospital, In-Patient DRG's, Out-Patient Hospital, supplies and pharmacy against state imposed No-Fault or Workers' Compensation fee schedules or Usual and Customary reimbursement levels, whichever is appropriate for the claim submitted.
  • Clear, easy-to-read Explanation of Review (EOR’s)
  • Our EOR’s direct any provider queries to us, not back to you.
  • All state regulations and necessary forms are strictly adhered.
  • For New York No-Fault bills, NF-10 forms are automatically printed and presented to you for signature with the completed EOR.
  • Paperless claims environment utilizing a tool box which allows users to access bills and perform various tasks including approving a bill for payment right at your desktop.
  • Prompt turn-around time.
  • SCS software maintains a detailed history for each claimant’s bills, which guards against duplicate billing and addresses situations involving the provision of the same or similar treatment modalities from several different providers.
  • SCS utilizes software solutions that enable the client to designate certain treatment patterns, or providers, for special scrutiny, to track relevant billing histories and to interface with Independent Medical Examination and Peer Review services with prompt notification to user.
  • Experienced staff and internal review procedures designed to provide quality assurance in the process.
  • Tracking claimant information.
  • Monthly billing and savings reports.
  • Strong client service ethic.
 
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