As a leading consulting firm in determining fair rates for medical bills all across the U.S., we knew that the development of a scalable software program would assist us in managing our work, increase our business volume, and enable us to expand our business model into new sectors as well.
Chapman Consulting, LLC is proud to announce our new RESOLVE claims management software. This program greatly enhances our process of organizing, analyzing, correcting, repricing, and storing medical claims for us and for our customers.
RESOLVE ENHANCES OUR COMPANY’S WORKFLOW AND PROCESSES
Analyzing and managing medical claims files is a time consuming and complicated process. Files typically contain multiple bills from different types of providers and often with multiple claimants. Each bill is sorted and reviewed, billing and coding errors are corrected, and reports are then generated for our clients to use in the settlement phase with providers or opposing counsel.
Additionally, our methodology includes a process of accessing over 500 million rows of data from CMS adding to the complexity of our business model.
Our RESOLVE software automates the process of utilizing large amounts of data to determine reasonable, defendable charges for medical services and create the associated reports for our clients.
RESOLVE enables us to organize and reprice medical bills, generate reports, and store the all of the claim documents in one complete file. With the workflow streamlined and more claims personnel simultaneously having access to this new program, our business processes have sped up exponentially.
RESOLVE ENHANCES OUR CLIENTS’ EXPERIENCE
With an average 78% reduction in medical rates and an average 3 day turnaround time for our reports, we won’t slow your process down, but we will provide the leverage your adjusters and claims managers need to negotiate a fair settlement with providers or opposing counsel.
Additionally, adjusters appreciate having a team of 3rd party experts reviewing their claims for accuracy and providing the support they need in building a strong case for settling expensive medical cases.
Our team includes certified coders and billing experts. Our certified coders correct some of the more common, costly mistakes associated with medical claim files ensuring those files are accurate and complete. And our billing experts provide consulting and support for adjusters as well as managers and legal teams.
For example, we determine if bills are missing from the file and request those so the file will be complete for the adjuster. We also correct inaccurate information such as lack of codes, unit errors, and double billing. Adjusters, who may not have the in-depth knowledge regarding codes and units, appreciate having a certified coder catch those errors.
RESOLVE COMPLIMENTARY REVIEW AND REPORT
Want to see first hand how we can help your team? We offer complimentary medical bill analysis and reports to anyone curious to see how our recommended rates compare to your current process. It’s quick and easy, and no strings attached. Just give us a call at 512-852-8265 and we’ll get you started.
Got a question?
Give us a call. We would love to discuss how we may be able to help determine a reasonable solution for over-priced medical bills for you or your clients.