Provider and Hospital Bill Review
Moody Review provides national medical bill review services throughout all 50 states. Through our experienced staff and industry leading software, we routinely create savings ranging from 20% - 60% off of billed charges. Our skilled claims and clinical staff understand the significant issues in today's complex workers' compensation industry.
- State Specific fee schedule reviews
- Usual and Customary Review
- Maritime Review
- Texas non-subscriber review
Key components of our services
- State of art rules engine
- Fully integrated EDI and state reporting capabilities
- Detailed client reporting capability
- Duplication detection
- Bundling vs. Unbundling of services to verify the accuracy of the bills reviewed
- Medical Bill Verification review for greater savings before fee schedule
- National PPO
Savings Beyond State Fee Schedules
CompCheck is Moody Review's unique review of workers' compensation hospital bills for additional savings beyond state fee schedules.
Service Description
Moody Review, Inc. offers a specialized review on Inpatient Hospital, Outpatient Hospital, ASC and large Provider bills.
Key Components of our service:
- Usual, Customary & Reasonable review tied to geographic region
- RN review for Inappropriate Billing and Incomplete Documentation
- Interpretation of state fee schedules
In many states with mandated fee schedules we can apply a Usual, Customary & Reasonable review along with our RN review to achieve savings beyond the state fee schedule. Please contact Moody Review for a list of states where this methodology can be applied. Savings for states utilizing a mandated fee schedule.
For states without a mandated fee schedule we apply a Usual, Customary & Reasonable review along with our RN review on the billed charges. Savings for states utilizing a Usual, Customary & Reasonable methodology.
