Rising Medical Solutions offers a complete spectrum of solutions for managing the costs and quality of medical care. Our integrated programs offer the 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 Care Management solutions use evidence-based guidelines to ensure quality care and optimal outcomes, while reducing overall claim costs.

  • Early Intervention Program
  • Telephonic Case Management
  • Utilization Review
  • Peer Review
  • Physician Pharmacy 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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Request Information

Thank you for interest in Rising Medical Solutions. Simply fill out the below formand someone from Rising will contact you to discuss your needs further.

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Have a case that's ready to go?

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

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