Medical Cost Containment Strategies You Should Know
Read this write up to know the various medical cost containment strategies to deliver a maximum lifetime savings result. Visit http://ans-solutions.com/ for more information.
Read this write up to know the various medical cost containment strategies to deliver a maximum lifetime savings result. Visit http://ans-solutions.com/ for more information.
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Few M edical Cos t Containm ent <strong>Strategies</strong> <strong>You</strong> Mus tto<br />
<strong>Know</strong>
WHAT IS COST CONTAINMENT?<br />
<strong>Cost</strong> <strong>Containment</strong> is a process of maintaining the purchased<br />
prices and organizational cost within certain specified target<br />
limits over a certain period of time. Few medical cost<br />
containment strategies are mentioned below.<br />
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MEDICAL MANAGEMENT<br />
In medical management process, an experienced nurse will<br />
manage and coordinate the medical care received by the<br />
employee. They evaluate the treatment and care given to the<br />
employee and review whether they are given appropriately at<br />
the right time. They aim to bring the employee back to<br />
normal, and if any additional test or treatment is needed, they<br />
will advise doctor treatment.<br />
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UTILIZATION REVIEW<br />
The process of independent confirmation of the need for<br />
medical service is called utilization review, and it includes,<br />
• Precertification Reviews – Taken before providing medical<br />
care<br />
• Concurrent Reviews – Taken during the treatment<br />
• Retrospective Reviews – Taken to verify the need for the<br />
treatment provided<br />
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MEDICAL BILL REVIEWS<br />
<strong>Medical</strong> bill reviews are often done by the companies that<br />
specialize in verifying the accuracy of the medical bill charges<br />
and medical bill diagnostic codes. This review includes the<br />
audit of the hospital bill and the doctor bill.<br />
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INDEPENDENT MEDICAL EXAMINATION<br />
When the employee is taken to another doctor for a second<br />
opinion, the independent medical examination is done. This<br />
examination is done when the employee’s recovery gets<br />
delayed than usual.<br />
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Visit ans-solutions.com for more information.<br />
Call 908 315 7500<br />
Email info@ans-solutions.com<br />
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