Orange, California— Comprehensive Cost Solutions, Inc. (2CS), (www.2cs4u.com) a California workers compensation managed care and technology company, launched its new CareLink capability offering complete utilization review and bill review capabilities in a fully integrated system.
2CS has launched CareLink with one of the largest JPA’s in California, allowing that organization to enhance its internal utilization review services to include automated coordination with the medical bill review process. CareLink contains a robust rules engine that allows the clinical findings to be integrated into the bill review process in an automated way, and bill review history to be reflected in the utilization review process, insuring accurate, optimized medical cost savings.
In addition, 2CS is extending some of the treatment and fee schedule information directly to the medical providers through its provider portal called CareConnect. The CareConnect web portal creates the opportunity for subscribing providers and payers to eliminate the traditional bill review process altogether.
“While the marketplace recognizes the value of coordinating information across these processes, the challenge has been that the utilization review process today is primarily driven by notes, and the bill review process is driven by data. With our proprietary CareLink capabilities, we have found a unique way to mutually exchange necessary clinical and bill review information through our unified system” said Arnold Silvestri, Executive Vice President of 2CS. “In addition, our competitors are attempting this type of integration with disparate systems that rely on some level of EDI connectivity. We feel this approach is not as effective as having these capabilities on a shared platform.”
About Comprehensive Cost Solutions, Inc.
Comprehensive Cost Solutions, Inc. is a premiere managed care cost containment company, catering mainly to small and mid-sized employers and carriers. The company’s core focus is providing in-house Bill Review, Utilization Review, Medical Provider Network (MPN) administration, and Bill Review Software Leasing under a single platform to achieve maximum savings. For more information, please call Arnold Silvestri at (925) 788 5478, or email firstname.lastname@example.org.
Source: Comprehensive Cost Solutions