SOLUTION CENTER
Find the Solution that's Right for You
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Our Medical Bill Review program allows payers to make well informed and equitable payment decisions regarding medical expenses. Key program components include:
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· Medical Bill Review
· Specialty Bill Review
· Hospital Bill Review |
· Negotiations
· PPO Discounts
· Provider Payments | |
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Rising works with medical providers to deliver fair, equitable and final resolutions. Ensuring you pay only what’s appropriate, we negotiate on your behalf to reduce the costs of:
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· Out-of-Network Bills
· Non-Subscriber Bills |
· High Dollar / Complex Bills
· Prospective Treatment | |
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Rising’s URAC accredited programs review treatment plans to help reduce medical costs while providing quality, evidence-based care to patients. They are:
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· Utilization Review
· Peer Review |
· Physician File Review
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Our Medicare Set Aside Administration services facilitate compliance with Medicare’s numerous mandates for all settlement parties: payers, defense attorneys, plaintiff attorneys, structured settlement brokers and patients. Our services include:
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· MSA Professional
Administration
· MSA Patient Web Portal |
· MSA Self-Administration
Support
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Complex. Cost Effective. Correct. Rising's medical claim experts dissect your large, complicated hospital billings so you only pay for what's fair. Our Hospital Bill Review services produce savings over and above traditional repricing methods, and can be used as part of Rising's complete Medical Bill Review program or all on its own.
• Inpatient or Outpatient bills
• Trauma bills |
• Rehabilitation bills
• Skilled Nursing bills |
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