Medical Bill Review

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Highly flexible medical bill review with unparalleled accuracy and compliance to generate maximized savings.

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“Continuous improvement is the cornerstone of our product management philosophy. It’s why StrataWare consistently leads with more timely, accurate, and efficient solutions.”

-Matt Shults, V.P. Product Management

StrataCare offers superior financial controls and decision support tools for workers’ compensation through its innovative bill review software suite, StrataWare®.

Our industry recognized solutions are used by leading organizations, as well as our own outsourced service bureau, to control costs, improve efficiencies and maintain the highest level of regulatory compliance.

Woman Bill review processStrataWare integrates a range of sophisticated features to offer one of the most comprehensive and robust solutions available to manage cost containment efforts for private and public organizations nationally. Delivered via a Software as a Service (SaaS) model, StrataCare has been a longstanding technology innovator while maintaining the most stable, scalable, and secure platform.

StrataWare not only provides you with the benefits of extremely efficient bill processing, but also the key features needed to optimize workflow processes and provides a high level of integration with important functional components from claims management, and utilization review, including access to PPO and specialty networks.

 

Some of those functions include:

  • Strategically placed icon links – to Compliance Library content from bill review to improve the efficiency and accuracy of bill repricing and handling of reconsiderations.
  • A client-configurable rules engine – PathWays to manage your unique workflows with greater flexibility that puts you in control. Easily apply your custom bill routing and auto-adjudication scenarios using a drop down menu and library of sample vocabs to compose rules quickly without a programmer.
  • Easy linking of treatment guidelines – from your utilization review vendor’s application to StrataWare using the CareControl® module. CareControl quickly and effortlessly integrates utilization review decisions, nurse treatment plans, and negotiations creating a collaborative system for real-time utilization control and cost containment.
  • The AdjusterPortal user suite – which improves productivity, enhances collaboration and streamlines decision making through an integrated efficiency boosting environment. AdjusterPortal supports prompt, effective review, editing, approval, or denial of medical bills by claims adjusters, nurse specialists, telephonic case managers and peer review supervisors.
  • Several advanced decision support tools – enable business process decision support and ad hoc reporting. Additionally, standard interactive real-time dashboards allow quick review of all bill statistics and aging reports.
  • Comprehensive eBilling solution – offering the most efficient connection between provider and payer, while ensuring compliance with jurisdictions legislating electronic billing standards.
  • Continuous product improvement and updates – supported by a team of software developers dedicated to R&D. They continually plan and implement product refinements that optimize your repricing process with monthly software updates that deliver accurate results. Furthermore, our next generation compliance engine allows for nightly, validated fee schedule updates and rapid inclusion of the complex rules needed for accuracy and completeness.

 

Performance like this is why so many client partners, large and small, have remained loyal to StrataCare. Learn how we can improve your workflow, control costs, and seamlessly integrate with your cost containment programs.

Contact us to request a consultative demo by one of our Sales Engineers.