• Surgical Care Program

    Value-based purchasing that delivers quality surgical care fast, at a fair upfront price.

    • All-Inclusive Case Rates
    • Fast Access to Care
    • Maximized Savings
    • Better Outcomes
    • Top Ortho Surgeons
    • Predictable Cost

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  • Business insurance names
    Rising’s RX Intelligence Analytics
    A “top 10 innovation”

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  • Simple Solutions to the Complex Challenges of Medical Management

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  • Webinar ChannelSign-Up for Webinars or Watch the Replays

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    FEATURED WEBINARS

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    1. Value-Based Purchasing in Workers’ Comp –
      An Idea Whose Time is Here
    2. 2015 Workers’ Comp Benchmark Study Findings –
      The Upside of the Claims Talent Crisis: A Road Map Forward
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Rising Medical Solutions offers a complete spectrum of solutions formanaging the costs and quality of medical care. Our integrated programs offerthe optimal care, at the appropriate time, for the right price.

Cost

Cost Reduction

Rising’s Bill Review solutions deliver substantial savings by integrating powerful data, repricing intelligence, and the professional expertise of auditors, nurses, and physician advisors.

  • Medical Bill Review
  • Specialty Bill Review & Nurse Audit
  • Hospital Bill Review
  • Provider Negotiations
  • AND MORE… 
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Care

Care Optimization

Rising’s Clinical solutions use evidence-based guidelines to ensure quality care and optimal outcomes, while reducing overall claim costs.

  • Early Intervention Program
  • Surgical Care Program
  • Telephonic Case Management
  • Utilization Review
  • Peer Review
  • AND MORE…
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Insights

Analytics & Technology

Rising uses sophisticated technologies to proactively target and give insight into those factors most critical to successful medical claims management.

  • Advanced Analytics
  • Risk Modeling
  • Rx Intelligence
  • Payer Web Portal
  • AND MORE…
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TESTIMONIAL FROM AN ECSTATIC CUSTOMER

“The secret sauce is the people. They are highly trained, their technology is second to none, and they deliver throughout the course of this relationship..."

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Simply fill out one of our online referral forms to get it to Rising quickly and securely.

  • Utilization Review
  • Physician File Review
  • Pharmacy Review
  • Surgical Care Program
  • Medicare Set Aside (MSA) Administration
  • AND MORE
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