Greater financial performance, accuracy and efficiency in claims management. Subject matter experts who can help maintain compliance with rules, statutes and industry standards. Advisers to coach you through the ACA’s impact on Workers’ Comp and bring new ideas for improving return-to-work outcomes for your clients and injured employees.
These are the qualities payers need in a dedicated partner, and Xerox is unrivaled in our ability to deliver. We help your organization “see around the corners” so you can respond to challenges you may not even realize lie ahead. Our medical bill review solutions, clinical programs and workers’ compensation analytics are at work around the clock for the largest leading insurers, third party administrators (TPAs) and employers, and the world’s largest self-insured entity.
Our solutions include:
Medical Bill Review
With medical costs currently making up as much as 60% of workers’ compensation claim costs (and expected to climb as high as 70% over the next several years), your medical bill review program needs to deliver the highest accuracy and intelligence to make sure your organization is not missing any opportunity to elevate performance.
Whether you need to extend your existing capabilities, tighten compliance and security, or expand visibility into what’s impeding your medical cost savings, our experienced team can prepare and empower you for what lies ahead by implementing an efficient solution to support your cost containment goals for today and long-term. Our highly flexible medical bill review software and services deliver unparalleled accuracy and compliance to achieve optimum savings.
Strategic PPO Service Optimization
The dynamic, complex and highly regulated environment of workers’ compensation calls for a strategic approach to network and provider selection. Our long-standing PPO and specialty network partnerships, along with our sizable bill volume, enable us to work more closely with leading networks to control your access costs and optimize network savings, accommodating an infinite number of client-specific provider relationships to support our clients’ business needs. In addition, our PPO analytical tools and services, including PPO Network Optimizer, ProviderKey™ and CONNECT™, ensure the greatest network penetration.
Back Office Transaction and Payment Processing
Processing provider bills, supporting documentation and payments is essential but it can be a serious drain on your resources. Our back office transaction processing services — from front-end services and document/data capture to payment services and enterprise content management — expedite the delivery of documents and data needed for fast, accurate claims administration.
Workers’ Compensation Clinical Services
Clinical expertise — when individually applied and proactively managed — is highly successful in shortening claim duration and accelerating medical recovery. Our clinicians and nurse case managers are vital forces when it comes to improving financial and return-to-work outcomes. We apply clinical expertise in relevant specialties to proactively manage and customize the medical care process. By optimizing the recovery process, our clients save millions of dollars from reduced indemnity payments, reduced litigation and improved morale.
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