
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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Savings. Accuracy. ROI. Our flagship Medical Cost Containment programs allow clients to make appropriate payment and treatment decisions. Utilizing key program components, Rising Medical Solutions ensures accurate reimbursements and superior savings:
• Medical Bill Review • Specialty Bill Review • Hospital Bill Review • Utilization Review |
• Provider Negotiations • PPO Discounts • Pharmacy • Provider Payments |
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