Cost Containment Solutions offers Value Addeded Cost Containmnet Program and Services
Mailroom & Scanning Complete
mailroom & scanning capabilities
Web-based image repository & lookup for authorization Medical bill (HCFA 1500, UB 92) administration services
Medical bill data entry, OCR or double blind key Repricing to state-mandated fee schedules and/or network discounts
EDI File Generation Electronic download of medical bill information
Creation of indexed file
Formats supported include
ANSI 837, NSF, EMC, ECSIF, and XML
Medical management
First Year Free Nurse triage
paired with FROI
Medical bill review
Hospital bill review
Utilization management
Utilization review
Medical management analysis
Case management
Account management services
Account setup
Proposal generation
Billing and receivables
Account reconciliation
Customer service administration Insured inquiry resolution
Provider inquiry resolution
Insured outreachTelephone satisfaction surveys
Value-added professional services
Network development and management
Provider performance analysis
Provider credentialing
Provider setup and maintenance
Provider
database management and directory maintenance
Accounting and financial reporting
Revenue reporting and analysis
Medical
cost reporting and analysis
Reinsurance reporting
Claims Mangement:
Specialty services:
Management of Runoff Claims or Non- Insured Claims Services
Vendor Claims Management
Bankruptcy Claims Runoff
Claims Management of New Acquisition with runoff
claims
Claims Management of High Risk Claims
Medical Claims Evaluation
and Medical Risk Purchcases
Catostrofic Claims Evaluation and Risk Purchases
Medical Cost Recover and Settlements
Fraud Detection
Stewardship Reporting
Dental bill administration
Pharmacy bill administration If you would like additional information, please contact Cost
Containment Solutions broker at 866.236.4910 x 705 or email: jball@CostContainmentSolutions.com
