Significant savings and increased efficiencies are standard results for clients using Excel’s Medical Bill Review program. Our vast experience, combined with technology and integration with Utilization Review, has allowed Excel to apply best practices to meet the individual needs of each client. Excel’s Medical Bill Review program generates both savings and efficiencies for clients. Savings result from reductions on medical bills through the application of the appropriate fee schedule / utilization case review (UCR) and Utilization Review audits and edits completed by Nurse Auditors and Certified Coders. Excel’s experienced subject matter experts have firsthand knowledge of provider billing practices and techniques. Our knowledge – combined with our processes, innovative technology, robust databases, and unique analysis methodologies – enables our Nurse Auditors and Certified Coders to apply rules that prevent overpayment of inappropriate medical charges. In addition, if applicable, Excel applies reductions through a comprehensive PPO network. Excel also has an Out-of-Network Negotiation program that results in signed agreements and elimination of balance billing issues. Our clients can customize a program to meet their needs by using all of our programs or using an individual program to meet an individual need.
Excel eliminates billing abuse by ensuring that each bill goes through the appropriate review process.
We offer the following bill review services:
- Fee Schedule / UCR Application
- Nurse Audit Review
- PPO Network Application
- Pharmacy Benefit Management
- Specialty Bill Review