Medical Bill Review
Most bill review companies claim to provide cost containment, but ManageWare goes beyond just medical saving to focus on the workflow and integration opportunities that add value and cost savings for our clients. ReviewWare is a proprietary web-based bill review platform that is fully integrated with all related processes and stakeholders in the medical management continuum, including utilization review, PPO networks, specialty networks, as well as treating providers.
The ReviewWare application can be accessed through our service bureau, where it is operated by our expert staff, or the software can be licensed and used by your staff if you manage your own internal bill review operation.
Bill Review - Service
ManageWare offers a full-service outsourced bill review solution that integrates with multiple PPO and specialty networks. Our regulatory compliance department ensures bills are processed according to the correct and current fee schedules and offers multiple reporting capabilities including post-adjudication state reporting where required.
- Standard bill adjustment to state fee schedule
- Specialty review and management of proprietary direct agreements
- Clinical Audit to identify coding errors or potential fraud
- Pass-through processing of non-medical bills
- “Zero Pay” bill EOR processing
- Large Selection of PPO and Specialty Network Access