MEDICAL COST CONTAINMENT
A multi-level review approach to maximize opportunities for claims savings
Identifying questionable charges that are incorrect, inconsistent, unjustified, coding errors, upcoding, unbundling errors or erroneous.
Medical Cost Containment provides a comprehensive solution for clients, verifying that charges billed are appropriate for the care provided. This unique approach begins with a thorough preliminary assessment of pre-paid claims by our internal experts. Clients are then presented with detailed findings and recommendations through Novarhealth services.
- Preliminary “Free” Pre-review
A free high-level pre-analysis is performed on each prepayment claim to determine if appropriate for review.
- Out-of-Network Negotiations
Our experienced team uses reasonable and customary rates, benchmarking and historical experience to negotiate discounts on out-of-network charges.
- Comprehensive Bill Audit
A detailed line-by-line review that checks for medical bill errors such as unbundling charges, erroneous charges, inflated charges or coding discrepancies. Bill Audit options are available for both in and out of network claims.
