An experienced Medical Bill Review (MBR) team translates into maximum cost savings. Our MBR Department consists of review analysts, quality assurance specialists, jurisdictional experts and licensed nurses.
Through customized programs, the IMO MBR process captures results through:
Application of state fee schedules and mandated rules
Identification of improper billing practices
Integration of utilization review decisions
Detection of duplicate provider billing
Pharmacy bill review and management
Capability to manage network relationships
Electronic medical interface with pre-screen nurse review
Additional benefits provided to ensure best return:
Paperless / Web-based Application and Numerous Quality Assurance Measures and Controls
Automated Provider Payment File and Customized Management Reports
Online Access to Bill Review Information and Automated Rules Engine
Enhanced EDI Interfaces with all Appropriate Parties
Scanning Workflows to Incorporate Bill Images, Medical Reports and EOBs
Compliance with State EDI Reporting, EOB Approval Process
Want to learn more about IMO’s Medical Bill Review?
