Efficiency Evaluation

What is Your Return on Investment?

In-House Medical Bill Review

Calculate the costs:

• Software
• Hardware required
• Support and upgrades of software and hardware
• Time your adjusters spend on medical bills

What is your employee turn over rate:

• Medical Bill Review
• Check Printing
• Telephone Customer Service

How much time do you spend replacing those people?

Calculate the savings:

• Your portion of the PPO savings
• Amount you have been fined for making late payments
• Total interest you have paid on lost appeals

Are your average bill and PPO savings more than 68%?

 

Outside Medical Bill Review Vendor

Calculate the Costs with Your Current Vendor:

• Your time spent following up on errors?
• Damaged provider relations affecting your ability to close claims?
• How well do they handle special requests from your adjusters?
• Total interest you have paid on lost appeals
• What are their fees?

Calculate the Savings with Your Current Vendor:

• Your portion of the PPO savings
• What is their success rate in defending provider appeals?
• Do they assist with your marketing?

Is their average bill and PPO savings more than 68%?

Are you as important to them TODAY as you were the day you signed the contract?