Our Specialty Bill Review service is an intensive audit of your complex medical billings. Compared to traditional repricing methods, Rising produces 37% in additional savings by tapping into the talents of our most highly trained, experienced staff:
• Certified Coders
• Nurse Auditors
• Physician Advisors
• Professional Negotiators
• Leadership with Claims Backgrounds
The Bigger, The Better
The larger the bills, the more we can dig into their intricacies and extract enhanced savings for clients. We perform four key audits:
• Coding Audit
• Clinical Audit
• Compensability Audit
• State Rules / Case Law Audit
Reducing our clients’ financial exposure, Rising’s team tackles a range of complex medical bills including:
• Out-of-Network bills
• Air ambulance bills
• Diagnostic testing bills
• Home health bills
• Hospital bills
• Implant bills
• Surgery bills
• Trauma bills
Hospital Bill Review
Rising's hospital reviews use all of our Specialty Bill Review capabilities to put large, complicated hospital bills under the microscope. These reviews can be conducted either before or after a bill(s) is paid, and they can be performed either on-site or off-site.
Beyond Superior Savings, We Give You Options
Our Specialty Bill Review solution can be integrated with with our Medical Bill Review program, or it can be implemented as a stand-alone service for payers wanting to supplement their existing bill review solution with specialty repricing for their largest, most complex billings.