Tuesday, March 27, 2012

Mitchell and Universal SmartComp Improve Claims Processing Solutions

By Calvin AzuriTMCnet Contributor Mitchell recently announced the availability of its SmartAdvisor Partner Bridge platform across the physical medicine network of Universal SmartComp, a national physical medicine Services Company within the workers compensation sector.

Medical bill review organizations leveraging the SmartAdvisor Partner Bridge solution from Mitchell can easily carry out instant network contract repricing and benefit from improved savings audits. With the SmartAdvisor-SmartComp Partner Bridge offering, insurance payers will be able to better control costs while ensuring improved patient outcomes via enhanced operational efficiencies facilitated via the Mitchell SmartAdvisor medical bill review platform.In a release, Nina Smith-Garmon, senior vice president and general manager of the Mitchell Workers' Compensation Solutions Division said that, "Mitchell Workers' Compensation Solutions welcomes SmartComp to the SmartAdvisor medical bill review platform, which partners with best-of-breed healthcare technology innovators to optimize claims processing solutions. SmartComp is as committed as we are to streamlining medical claims operations and improving cost containment for insurance payers and others in the workers' compensation marketplace."
SmartAdvisor Partner Bridge also enables medical bill review organizations to bring down the time for bill reviewing which offers payers increased performance and process visibility via advanced and accurate provider contracts as well as repricing data. Designed with standard XML file formats, the Partner Bridge platform provides users with the latest repricing data from networks and negotiation partners, and specialty reviewers. Ken Hannigan, president and chief operating officer of Universal SmartComp, said that, "SmartComp looks forward to helping Mitchell SmartAdvisor clients contain physical medicine claim costs. We share a common vision of reducing workers' compensation medical costs with technology solutions - proprietary treatment benchmarks, quality providers and a pricing model specific to physical medicine - proven to reduce over-utilization, treatment duration and to expedite employees' return to work."The SmartAdvisor bill review solution for workers' compensation has been designed with a robust offering of performance software and client services and best-in-class partnerships. The solution comes with personalized workflow modeling, and strong business decision rules engine, in addition to data analytics and reporting tools, and a Claims Examiner Portal for enabling quick access to bill data. All of these capabilities have been integrated into a single technology platform which helps users reduce cost and improve process efficiencies.



Edited by Jennifer Russell



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