In workers’ compensation, the medical bill review process should be designed to optimally and strategically capture savings and impact outcomes. However, what you may not realize, especially if you’ve used the same vendor for a number of years, is your process may have lost its edge and, consequently, dull your ability to compete in the marketplace.
In today’s climate, workers’ compensation payers are advancing toward digital strategies and innovation, and the same must be true for your bill review process. It must be honed to positively impact the efficiency and effectiveness of claims and medical management.
Ask yourself this: am I working with a vendor that’s merely competent or one that I view as a strategic partner? A competent vendor will likely give you the same humdrum service, while a true partner will strive to enhance value in every aspect of your program.
For instance, a forward-thinking vendor has a mindset of adopting new technologies that could provide additional benefits. A progressive approach positions you and company for leadership in an era of digital devices, big data, and advanced analytics.
If you want to lay the foundation for a future imbued with growth and success, it’s time to evaluate your bill review program. Is it suffering from a proverbial “death by a thousand cuts” in terms of inefficiency, compliance penalties and other pain points?
You may not even realize you have a problem unless you know what to look for. Toward this objective, Genex Services has developed the “Bill Review Health Check” series. These five insight papers will shine the light on key aspects of your bill review program and help you determine if your vendor is performing optimally in these areas:
- Does your vendor get at the root of issues, solve problems, and look for opportunities to improve results?
- Is your vendor using the best providers and networks to optimize care, medical outcomes and savings?
- Does it have deep expertise to ensure compliance with regulations that vary by state?
- Is your vendor using modern technology to meet your specific needs in regard to transparency, scalability and adapting to change?
- Does your vendor facilitate an efficient workflow, or does it create an additional administrative burden on your claims staff?
Each paper is accompanied by a diagnostic checklist to help you effectively evaluate your program across multiple dimensions.
This is a sponsored post from WorkCompWire marketing partner Genex.