MEDICAL BILL REVIEW SIMPLIFIED

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1 MEDICAL BILL REVIEW SIMPLIFIED

2 Simplify Your Company s Claim Processes. Innovative Risk Consulting partners with companies to streamline internal processes and reduce hidden costs associated with medical bills. Our methods include a manual review of every bill to ensure accuracy and deliver maximum cost savings. We help customers maximize savings and increase productivity. Here s how: Flexible reporting delivery options Quick identification and removal of duplicate bills, incorrect coding and additional fees Timely electronic bill processing Up-to-date compliance with state fee schedules, rule changes and regulations

3 EXPERT REVIEWERS. INNOVATIVE TECHNOLOGY. At Innovative Risk Consulting, we specialize in medical bill review. Our services include bill review and processing, PPO network pricing and pharmacy benefit management services for small and large businesses. A Fresh Approach with a Modern Twist We realize every medical bill is unique. Our personal approach to medical bill review results in significant savings for our customers through a proven combination of expert services and smart technology systems. How We re Different Accurate, efficient and timely bill processing in 48 states Custom Explanation of Bill Review (EOBR) upon request Certified experts Dependable TPA overflow resource HIPAA certified with bilingual staff No overcharges, duplicate charges or coding errors Quick turnaround time: 3 to 5 days, rush is available Markets We Serve Auto Liability Workers Compensation A Fresh Approach Customers Insurance carriers Managed care organizations Reinsurers Self-administered companies Self-insured employers State funds Third-party administrators

4 Our Promise: Accurate Payments Increased Savings Delivered on Time, Every Time MAXIMUM SAVINGS. INCREASED PRODUCTIVITY. Medical Bill Review and Processing Our seamless methods include a detailed, manual review of every bill throughout the process to safeguard accuracy and deliver maximum cost savings. OUR 6 STEP BILL REVIEW PROCESS Analysis & Screening Character Recognition Scan Tracking for Duplicates & Errors Professional Review Explanation of Medical Bill Review Savings Report

5 REMARKABLE SERVICES. IMPRESSIVE RESULTS. Codes We Identify Double billing Unrelated procedures Unbundling of billing codes PPO Network Repricing Access to nationwide Preferred Provider Organizations (PPO) networks is crucial to a successful bill review program. Innovative Risk Consulting has established partnerships with a wide choice of preferred provider networks throughout the country. We work closely with customers to select the best PPO network to provide discounted pricing that significantly lowers hospital and physician bills and maximizes savings. Pharmacy Benefit Management Our Pharmacy Benefit Management (PBM) services evaluate drug usage, identify high-risk cases such as narcotic addiction and ensure approved, correct drugs are dispensed. We manage drug costs through an established prescription program partner that delivers our customers reduced contractual rates with pharmacists nationwide and provides assistance with prescription claim payments. Additional Services Innovative Risk Consulting has established successful relationships with industry leaders for medical equipment, diagnostic services, transportation and translation, as well as home health, physical therapy and rehabilitation to bring additional cost savings to our customers. Certified Experts

6 Discover Our Difference. Reach out today to learn more about how our medical bill review services save time and resources. Connect With Us main toll-free PO Box Maitland, FL

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