In most States the method of reimbursement for medical claims is left up to interpreting regulations and the intent of the lawmakers.  Even if a State has implemented Medicare's methodology of reimbursement, the system is ever changing and allowing for opportunities to manage those payments. Who is deciding and interpreting the regulations for the payment of your claims? 

If you have had any need for medical care in recent years then you are aware of the increase in Medical costs. Not only are the costs higher today, they are continuing to increase at an alarming rate. One the most significant factors in the increasing of rates are the significant increase of workers' compensation claims costs. Charge gaming, cost shifting and improper coding directly impacts the increase of medical costs. The by-product is an ever-evolving provider and their billing techniques which translates into sophisticated bills sent to the clients.

Even if a State has implemented Medicare's methodology of reimbursement, the system is ever changing and allowing for opportunities to manage those payments. Who is deciding and interpreting the regulations for the payment of your claims?

 

These complicated billing techniques have direct implications for workers' compensation payers, especially as they relate to hospital charges, which currently comprise a large percentage of total workers' compensation payments.

TellLink Health a leading provider of specialty bill review services for workers' compensation payers. TellLink offers in-depth review and firsthand knowledge of provider gaming tactics coupled with the industry and multi-state expertise making us the authority in the fight to contain rising medical expenses. 

TellLink Health's data interpretation technology delivers dependable and effective bill review services. Our sophisticated, analyses leverages 2,500 data elements and 165 million data points while incorporating state laws, statutes and case law ensuring our assessments comply with all applicable state requirements empowering TellLink Health to deliver highly defensible and bankable results. Our analysis results in an average savings of more than 51% for payers.

 

Contact us today to learn more about TellLink Services.

(888) 853-6339 or email info@telllink.com