Services: Complete Review
- Credibility
CompleteReview® service is designed to recognize abuse, excessive billing, inappropriate codes and unbundling. Bills are reviewed by a CostFirst auditor that is a Certified Professional Coder, and a designated experienced medical bill reviewer with an extensive knowledge in Workers Compensation Laws. - Audit
The bills are validated for coding compliance. Once the proper code is assigned, then appropriate fee schedule values are recommended for payment. This ensures that services are properly coded; thus proper allowance is made on every service billed. CostFirst reviews are industry recognized and accepted by both providers and clients. Formal recommendations are provided to clients by review analysis report, which outlines and explains the recommended allowance.
- Savings
CompleteReview® provides a formal report via Review Audit. Clients are provided a fee schedule value for services billed and a recommended allowance value based on actual review of claim. Clients benefit from getting a complete picture of how much services are worth if the claim was accepted, coded properly, medically justified and substantiated by medical documentation. This service provides clients a valuable tool to provide to their counsel and representative during lien litigation. Clients for this service recognize average of 80% of savings. The reviews are defended and proven credible by providers and Appeals Board.
