• Simple Solutions to the Complex Challenges of Medical Management

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  • 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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    1. 2020 Work Comp Benchmark Study
      Normalizing Discomfort: 5 Ways to Future-Proof Your Organization
    2. Survey Says! What Your Claims Workforce Really Thinks & Strategies to Optimize Your Talent Pool
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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 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 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
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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
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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
  • Surgical Care Program
  • Medicare Set Aside (MSA) Administration
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