Fee scheduling and bill review services ensure appropriateness of provider billing practices.
Pre-negotiated fees are applied to each in-network provider, and out of network provider
bills are repriced in accordance with the Usual & Customary or PIP Fee Schedules.
Medical Bill Review Includes
Pre negotiated provider fees up to 35% below the New Jersey
PIP Fee schedule
Repricing to PIP fee schedule or to out of network usual customary
Direction to board certified physicians
Utilization Review by Registered Nurses
Counter the effects of upcoding, unbundling, over utilization
and other practices that inflate your bills
Hospital Bill Auditing
Active Care's Audit services include; on site medical record review or desk top audits.
Components addressed include