Ventiv Resource Library
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≥ aon 360º expert view: medical bill review Joko Haynes on +1 925 242 4659 or joko.haynes@aon.com for more information For most organizations that administer claims, integrating medical bill review with claims administration and related systems offers a significant opportunity for efficiencies and other savings. In the claims administration industry, particularly the workers' compensation arena, improving the speed and efficiency of claims examiners offers the potential for significant return on investment; integrating claims administration and medical bill review tools is an excellent way to achieve those returns. Many organizations with a focus on claims administration are already pursuing initiatives to increase efficiencies; promote automated decision-making processes; and eliminate manual processes and tasks. Pursuing system connectivity between claims administration and MBR systems merits strong consideration as well. Key results from embedding claims and MBR systems include: » Medical cost reductions » Reduced unit cost per bill » Enhanced auto-adjudication rate » Improved average turnaround time » Optimized head count » Lowered IT expenses Now more than ever, Aon eSolutions is a uniquely potent ally for organizations challenged by the rapid growth in medical costs. Thanks to an exclusive partnership between Aon and Mitchell SmartAdvisor, the market-leading medical bill review (MBR) solution for the workers' compensation industry, iVOS clients can now enjoy enhanced MBR capabilities for improved operations, transactional speed and accuracy, productivity, compliance, and medical and administrative savings. Turn to the iVOS MBR solution, powered by SmartAdvisor, for improved: » Efficiency: straight-through processing and workflow » Consistency: proven application of bill review decisions and workflows » Control: integrated state-level and regulatory body compliance and reporting » Flexibility: fully customizable and instantaneous application of business rules Making the Most of Savings and Efficiencies From Bill Review PLUCKING THE LOW-HANGING FRUIT: SPEED UP THE RESOLUTION OF PENDED BILLS: WHEN ALL FUNCTIONS OF THE BILL-REVIEW WORKFLOW ARE MANAGED WITHIN THE SAME SYSTEM, PENDED BILLS RESOLVE FASTER, WHICH ENSURES TIMELY PAYMENT TO MEDICAL PROVIDERS. INTEGRATED CLAIMS AND MEDICAL BILL REVIEW PLATFORMS: SPEED UP THE RESOLUTION OF PENDED BILLS REDUCE THE TIME AND EFFORT NEEDED TO ACCESS DATA ENABLE DATA SYNCHRONIZATION LOWER IT REQUIREMENTS ENHANCE SEARCH MESSAGING REDUCE THE TIME AND EFFORT NEEDED TO ACCESS DATA: TYPICALLY, CLAIMS EXAMINERS SPEND A GREAT DEAL OF TIME LOGGING INTO MULTIPLE SYSTEMS TO ACCESS VARIOUS DATA. INTEGRATED, SINGLE-SIGN-ON SYSTEMS GIVE USERS ACCESS TO MBR FUNCTIONALITY WHILE KEEPING THEM WITHIN THE CLAIMS ADMINISTRATION SESSION. ENHANCE SEARCH MESSAGING: WHEN CLAIMS EXAMINERS SEARCH FOR BILL AND PAYMENT HISTORY, THEY CAN AUTOMATICALLY PULL UP THE DATA WITHIN THE MBR SYSTEM WHILE STAYING WITHIN THE CLAIMS ADMINISTRATION SESSION. ENABLE DATA SYNCHRONIZATION: INTEGRATED SYSTEMS PROVIDE FOR FREQUENT DATA SYNCHRONIZATION, GIVING CLAIMS EXAMINERS THE OPTION OF DIRECTLY ACCESSING BILL AND PAYMENT INFORMATION FROM BOTH MBR AND CLAIMS ADMINISTRATION SYSTEMS. LOWER I.T. REQUIREMENTS: INTEGRATED CLAIMS ADMINISTRATION AND MBR SYSTEMS LOWER THE I.T. RESOURCES NEEDED TO SET UP AND SUPPORT THE CLAIMS ADMINISTRATION PROGRAM'S OVERALL BILL-REVIEW WORKFLOW AND DATA- MANAGEMENT PROCESSES.