Worker's Compensation Software & Solutions
Workers’ Compensation Bill Review & Claims Management Solutions
米切尔全方位的工人补偿亚博真人官方版APP和服务将行业领先的软件与技术支持的服务相结合,以帮助提供更好的结果.
Mitchell Can Help You: Manage Compliance | Review Medical Bills | Enhance Medical Management | Manage Pharmacy Claims | Navigate Medical Claims | Process Bills Electronically | Assess Performance
Maintain Medical, Fee Schedule & Regulatory Reporting Compliance
米切尔帮助我们的客户管理工人赔偿法规的合规性, including fee schedule and medical requirements and CMS and FROI/SROI reporting.
Medical & Fee Schedule Compliance
米切尔聘请了一个专门的合规团队,不仅跟踪工人赔偿立法格局,还帮助推动和通报其政策. 我们的合规专家定期向我们的合规连接网站提供行业更新. Mitchell根据需要向我们的软件提供收费时间表数据和其他监管数据更新.
Mitchell Regulatory Reporting Solution
Mitchell的监管报告亚博真人官方版APP通过为州报告提供单一连接,并包含超过10个,为我们的客户简化了报告过程,000 mandatory and conditional edits. 我们的合规团队直接与各州合作,报告需求变更并监控更新.
We Provide Multiple Options to Help Our Clients with State Reporting
Data Entry
Assemble, 管理和提交所需的信息,符合司法法规,在我们的易于使用, secure web portal.
Import/Export
通过从索赔管理系统导出FROI/SROI数据,消除手动数据输入. Submit files for IAIABC releases in a single file format.
AutoTriggers
通过自动导出原始索赔并让AutoTriggers处理其余的工作,减少EDI遵从性流程中涉及的手工工作.
Review Medical Bills & Contain Costs
米切尔提供灵活和可定制的亚博真人官方版APP,以帮助我们的客户控制和管理工人的赔偿成本.
SmartAdvisor Medical Bill Review Platform
Mitchell行业领先的医疗账单审核平台可以根据客户的具体工作流程进行定制,以帮助他们实现独特的业务目标. The technology, supported by a highly sophisticated and Mitchell-owned rules engine, helps to drive consistency and accuracy in price for care. Additionally, 我们的医疗账单审核客户可以使用Mitchell mosaic——一种采购和堆叠PPO网络的专有方法,以及设计和定制工作流程和结果所需的专业团队和工具.
米切尔通过以下三种方式之一向客户提供医疗账单审核平台:授权软件, Technology Enabled Services or a hybrid model.
Technology Enabled Services
通过与Mitchell的技术支持服务合作,为调整人员腾出时间,专注于高价值的任务和复杂的决策. The Technology Enabled Services team provides end-to-end business processing & specialty services with speed and accuracy, driving value to clients. Services include:
- Data capture services
- Document management
- Full bill processing
- Certified code review
- Mailroom services
- Quality assurance
我们的技术支持服务团队还提供额外的服务,为账单审核过程增加额外的成本控制层
These additional services include:
Mitchell AuditPro
Mitchell’s AuditPro bill auditing solution employs a unique blend of technology, data and expertise to detect billing errors, 验证和纠正医疗代码,并对医疗记录进行收费,以进行账单审核定价. AuditPro亚博真人官方版APP可处理各种账单类型,包括专业和设施账单.
Mitchell Specialty Bill Review
Mitchell的专业账单审查亚博真人官方版APP提供了通常和习惯的定价,以帮助付款人在不存在收费时间表定价的情况下始终如一地为网络外医疗账单支付公平合理的价格.
Mitchell Negotiations Services
米切尔的直接与供应商谈判服务,帮助确保医疗费用的折扣率使用各种策略,包括即时支付, data-enhanced and strategic negotiations.
Automate & Enhance Medical Management Programs
帮助减少对转诊和账单进行医疗审查所需的成本和时间.
使用Mitchell ReviewStat增强您组织的医疗管理程序和团队, 一个直观的基于web和高度自动化的工作流优化亚博真人官方版APP,用于促进和监视用例的进度,以进行利用率审查, peer review and case management.
了解ReviewStat医疗管理软件如何帮助您在利用率审查和病例管理团队中实现更高的效率并提高生产力.
Manage Pharmacy Claims
Mitchell ScriptAdvisor is the industry’s most complete PBM, integrating bill review, 临床和索赔系统提供无缝体验,并提高了整个索赔的可见性.
ScriptAdvisor®, PBM Solution
- Dedicated customer service & pharmacy expertise
- Extensive national network
- Comprehensive clinical programs
- Smart technology and pre-build integrations
- Robust reporting & analytics
- Regulatory & compliance expertise
Learn more about Mitchell’s full suite of end-to-end casualty solutions.
Receive Bills & Submit Payments Electronically
SmartBill
Mitchell的SmartBill亚博真人官方版APP处理电子账单,帮助我们的客户提高效率并节省开支. Mitchell了解提高电子账单普及率的价值,并直接与供应商合作,鼓励从纸质账单向电子账单的迁移.
SmartPay
Mitchell’s SmartPay solution offers end-to-end automated payment reconciliation, 提高支付流程的效率,帮助降低材料和人工成本.
Industry Trends & Insights
Get the latest insights and industry updates you need to know.
The Artificial Intelligence Revolution
April 25, 2024
1 MIN READIn the insurance industry, innovation isn't just a buzzword; it's a lifeline to the future. This is why AI is not just important – it's essential.
Current Used Vehicle Market Conditions: Q1 2024
April 16, 2024
4 MIN READSpring appears to have sprung in the wholesale market, 2月份平均价格环比又上涨了4%,3月份继续大幅上涨. Retail used vehicle and CPO sales also showed February increases.
Key Trends in Workers' Compensation Networks
April 16, 2024
1 MIN READ与Kate Farley-Agee一起探索工人赔偿网络的最新趋势
Assess Performance with Advanced Reporting & Analytics
Reveal Custom & Actionable Program Insights With Robust Tools
Mitchell provides a variety of both standard and ad-hoc reports for our clients, including but not limited to:
- SmartReports
- ReportBuilder
- SmartTracker Performance Dashboard
- Provider Analysis Report
- Industry Comparison Report
- Provider Network Performance Report
Mitchell Claims Performance Consulting
Mitchell提供咨询服务,帮助客户深入了解如何利用他们当前的Mitchell产品功能来满足动态市场的需求.
Leveraging our rich database and reporting capabilities, 我们的理赔绩效咨询专业人员利用深入的专业知识,帮助客户在理赔管理过程中发现未开发的机会,并揭示客户, actionable insights and benchmark their results compared to the industry.