Bill Review

Escalating Costs Demand a Smarter Solution

Medical costs comprised 40% of workers comp costs ten years ago, have grown to 60% of total costs today, and are expected to climb to 70% within ten years. To address healthcare inflation, The Reny Company has solutions to manage and reduce the total continuum of workers comp costs.

The Reny Company incorporates state-of-the-art software technology and superior data integrity for medical review services. This technology combined with one of the largest preferred provider networks ensures our clients receive maximum allowable savings.  Our medical bill review services take bill auditing to higher levels of data reporting and cost control than ever before possible.  We consistently generate greater savings.

We ensure maximum savings through measures, such as application of fee schedules and billing ground rules, and negotiation of fees whenever network discounts, state fee schedule reductions or other appropriate review rationale are not available. We also help clients save through the detection of improper billing practices, such as "up-coding", code “un-bundling” and billing for incidental procedures; and the detection of duplicate billings at the line, bill and claim levels.  Bill review services can be performed in all 50 states.

Effective bill review involves more than re-pricing to fee schedules.  

Our bill review services include:
 

•       Fee schedule and usual & customary reviews;
•      (PPO) Preferred Provider Organization repricing;
•      Hospital and Surgery bill review (Line by Line);
•      Nurse Case Management Review
•      (DME) Durable Medical Equipment Review and Prescription Drug Audits;
•      Identification of bill duplication;
•      Customized report formats;
•      Easy to understand Explanation of Benefits and Explanation of Review;
•      Electronic data transmission;
•      State Reporting;
•      (EOB) Employee Explanation of Benefits
  

Key Benefits

• Stringent quality assurance
• Rapid turnaround times
• Claims system integration
• Eliminate paperwork
• Secure online transmissions
• Customized reporting

 

Find out why our clients are so loyal  and how we consistently save them more money and time than any of our competitors.

HIPPA COMPLIANT