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medical bill review services

With Medlogix, you gain a strategic partner dedicated to optimizing your claims process and unlocking value across your program.

Whether it’s driving efficiencies, ensuring compliance, or delivering measurable results, Medlogix consistently demonstrates that we are more than a vendor. We are your valued partner.

A Fully Integrated, Medical Bill Review Solution 

Medical Bill Review Services is a Division of Medlogix Payment Integrity Solutions consisting of Medical Bill Review, Audit and Code Review.

  • Using the power of the MyMedlogix software as well as a team of medical bill review professionals, certified professional coders, and audit nurses with an average tenure over 20 years; we provide an end-to-end solution for medical bill processing.
  • Medlogix utilizes a collaborative approach to ensure that the process is streamlined, accurate and avoids unnecessary stops or touches for the claim’s handler allowing them to focus on the more complex cases.
  • MyMedlogix is our proprietary Medical Bill Review software. It creates a seamless, web-based platform through which all processes flow through one integrated system. Clients can efficiently and securely manage claim activities with real-time data 24/7. Most importantly, this platform meets all local, regional and national jurisdiction requirements.
Doctors and hospital administrators discussing a case
A group of doctors and nurses discussing a case

“We use a collaborative approach. We work directly with the clients at the onset of any of our relationships.”

Katherine Dancer, Vice President, Medical Bill Review Services

 

Customizable Bill Review Solutions

Choose your utilization of these key solution components:

Code Review to Eliminate Improper Billing

  • CPT Code Review ensures accurate Billing/Reimbursement
  • Codes can be flagged for review during Bill Review, and can be customized based on your requirements
  • Available for First and Third Party Auto and Workers Compensation

Medical Bill Audit for Questionable Charges

  • You have 24/7 access and automated alerts
  • Make informed decisions with detailed narrative reports and ROI analysis
  • Available for First and Third party Auto and Workers Compensation

Bill Negotiations for Significant Reductions on Out-Of-Network Bills

  • Our highly-skilled negotiators negotiate with non-network hospitals, physician and ancillary health care providers with signed LOA’s

The MyMedlogix integrated solution is a single system

  • Allows the client to have a transparent mailroom, scanning and integrated data capture solution.
  • Customized to support client-specific needs such as by coverage, location, adjuster, SIU, etc.
  • Maximizes efficiency and savings to our customers by allowing us to reprice bills while determining diagnosis relationship, medically necessary treatment and properly coded billing patterns against the corresponding covered loss.

Discover how Medlogix’s solutions can transform your approach to medical bill review. Contact us today to schedule a personalized consultation.

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