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Bill Review Division

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Are you saving 50% or more on your AR comp medical bills?
Systemedic's bill review services generate substantial savings off the total medical charges billed to our customers. Our consistent return-on-investment in our services makes Systemedic bill review an essential component of your comp cost containment program.

2008 Savings for All Workers' Comp Accounts
SYSTEMEDIC/USAble MCO

Total billed charges $51.0 Million
Total savings off billed charges $28.9 Million
Percent saved off total billed charges 56.56%
Return on investment $8.63/$1.00

Systemedic's 3-level process delivers maximum savings

AWCC FEE SCHEDULE

Based on a national relative value system, the AWCC Fee Schedule is an excellent cost-containment foundation, contributing approximately half of Systemedic's 50% plus total savings.

2008 AWCC FEE SCHEDULE SAVINGS: $15 Million (52%)
 

NURSE/PHARMACIST REVIEW

While many companies rely solely on computerized re-pricing of medical bills, Systemedic generates additional savings for our customers through our licensed nurse/pharmacist review. After our computerized re-pricing, our experienced nurses and pharmacist perform a final review of every bill, recovering extra savings from those items requiring human experience and judgment to discover.

2008 NURSE/PHARMACY REVIEW SAVINGS: $2.9 Million (10%)
 

USAble MCO PPO

Systemedic gives you access to the state's largest and most comprehensive workers' comp medical network—the USAble TrueBlue PPO. Systemedic customers receive the benefit of discounted pricing obtained via the USAble parent company, Arkansas Blue Cross Blue Shield. Unlike other regional and national PPOs that offer only small across-the-board discounts, the USAble PPO generates substantial savings in physician, hospital, outpatient services, durable medical equipment and other medical vendor bills.

2008 USAble MCO PPO SAVINGS: $11 Million (38%)


For additional information or a free consultation, contact:
Doney Williams, Bill Review Manager, PD
Phone: 501-227-5553 or 800-822-2680 (ext. 136)
Fax: 501-227-6954

       

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