Bill Review
 

Medical Bill Review Services

 
  CareSys provides customized managed care services and technology solutions for workers’ compensation and disability management, resulting in reduced costs and increased administrative efficiency.   CareSys’ medical bill review services approve only medically necessary and appropriate payments by leveraging knowledge and experience in workers’ compensation, provider management and information technology. As the complexity of medical billing increases, CareSys’ data analysis and reporting capabilities deliver the information necessary to maximize savings.  

 

 
Electronic links to case management system, claims system and major group health insurance carriers
Detailed billing activity and history
Efficient production of duplicate claims checks
Electronic data interface and data integration protocols
Direct download of files into claims and check-issuance systems
Comprehensive status & outcome reports including provider profiling
Direct analysis of bottom-line savings
Appropriate application of state administrative rules, network discounts and state fee schedules
Bills reviewed for medical necessity, unrelated services and over-utilization
Automated check generation
Tracking system allows audit of payments, voids and reissuing
Toll-free provider assistance line
   
       
   
15 River Rd Suite 200 Wilton, CT 06897 1-800-992-5531