P.O. Box 3325
Allentown, PA 18106-0325
Phone: 610.336.9058
Fax: 610.336.9054
pegbondi@medcostconsultants.com
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Experience:
Our review staff is comprised of 100% registered nurses.
Credibility with national network of providers & regulatory agencies.
Over 100 years of combined Medical Cost Containment experience.
Comprehensive:
Cases received by medcost are screened for the following:
- Unusual billing practices
- Services & supplies consistent with diagnosis
- Medical necessity & utilization practices
- Contract compliance
- Repricing and Negotiation of out of network claims
It is then determined whether bill audit or fee negotiation will achieve the best results. If fee negotiation:
- Fee negotiation on case by case basis rather than a contracted minimum.
- Negotiate at baseline cost not standard "mark-up"
Screening flag criteria designed to minimize workload on claims dept.
A 48 hour time service goal on referrals.
Customized programs and reports can be designed to your specific needs with no interruption of your claims payment process.
Cost Savings
MedCost has experienced the following results in our efforts for our clients:
AVERAGE BILL REDUCTION:
Audit-10%
DRG Validation-15%
Bill Negotiation-20%
Utilization Review-30%
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