Rehab 1 Unveils Technologically-Advanced Medical Claim Review Service
Distinctive examination methodology creates superior cost containment platform
Tampa, Florida – Rehab 1 Corporation today announced commencement of its medical claim review service. The program, known as Rehab Exam, enables insurance carriers to outsource physical rehabilitation-related claims to the company in order to enforce provider compliance and accountability during the reimbursement process.
“Rehab Exam represents our continued support of the insurance industry’s quest to address cost containment. Our proprietary technology provides us the ability to operate in completely different manner than other review systems. We’ve created an entirely new and innovative evaluation process that’s unparalleled in efficiency and effectiveness,” said Bruce Pitcher, founder and president of Rehab 1.
Rehab Exam is offered to insurance companies who have exposure for medical claims associated with automobile, workers’ compensation or health coverage. The service acts as an adjunct to a carrier’s existing claim management system. Pitcher states, “When the specialized techniques associated with Rehab Exam’s provider accountability requirements are employed as the first step in determining claim worthiness, the identification of compliance violations frequently precludes the need for further review using subjective issues such as repricing.”
The review platform is largely based on the methodology of the company’s field audit directives and its flagship cost containment software system, Rehab Integrity Pro. The unique approach requires health care providers to prove they have met the jurisdictional guidelines relating to the services that were rendered before a carrier will issue payment to them. The compliance requirements are formidable and meeting them poses a material challenge for even the most seasoned provider.
Whereas some providers feel Rehab Exam’s claim analysis will lead to reimbursement denials, the rationales employed in the examination process are objective and fair. Pitcher points out, “Our reviews are completely objective, based on jurisdictional guidelines and they can withstand the utmost scrutiny in any professional or legal forum.”
Rehab 1 Corporation specializes in supporting the insurance industry for health care compliance issues relating to musculoskeletal rehabilitation. The company can be reached via telephone at 727-448-0000 or by email at firstname.lastname@example.org. Its Web site is www.rehab1corp.com.
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- Rehab 1 Corporation
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