“With the implementation of this program … our medical costs have been very significantly reduced”. Bill Zachry – Vice President of Risk Management at Safeway Stores
In an article in Risk and Insurance magazine, Zachry encourages workers’ compensation leaders to look for leakage in the gap between their own utilization review and bill payment practices. Closing this source of leakage was one key component of the Safeway program.
He details the results of studies at the California Department of Insurance, and at Safeway. Both studies found significant leakage between utilization review and bill review. See ” Navigating Past Medical Billing Errors”
DataCare’s UR Enforcer connects your utilization review system with bill review to minimize this leakage. It is efficient and cost effective; automatically verifying medical bills line-by-line against treatment authorizations from utilization reviews and pre-certification. We integrate with most bill review vendors so long as the utilization review authorization codes are complete and accessible.