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Press Release
Editorial Contact:
Cynthia Chow
925-242-4600
"One-System" Solution for Claims and Bill Review Launched by Valley Oak Systems
iVOS Review Service and Software Streamlines Workflow and Increases Efficiency in
the Claims Management Process
San Ramon, CA - February 12, 2004 - Valley Oak Systems, Inc., a national provider of claims
management software, services and support, has launched iVOS Review Service and Software, a
new bill review component that is now integrated into their flagship product, iVOS, the leading
browser-based claims administration system.
"iVOS is a 'one-system' solution bringing together bill review and claims management.
Integration ultimately streamlines operations, improves turnaround and productivity, reduces
errors, decreases medical and administrative costs, and eliminates complicated data exchange.
The traditional bill review process was disjointed, involving mail operations and intricate data
transfers with third-party vendors to exchange information. This created extra work and often
resulted in errors that required additional time and resources to resolve. The iVOS "one-system"
solution eliminates this cumbersome and costly process, contributing to a significant return on
investment," said Randy Wheeler, CEO of Valley Oak Systems.
Due to skyrocketing medical costs in workers' compensation, many organizations are demanding
a more cost-effective medical bill review process. iVOS Review provides organizations with
"total savings" that includes reduced medical, administrative and operational costs. Valley Oak's
bill review offering includes:
- iVOS Review Service - Clients outsource their bill review process to Valley Oak's
expert bill review department. Staff members have extensive experience in medical bill
review, utilization review, and case management within workers' compensation. Valley
Oak increases savings for their clients by also applying utilization review, above and
beyond the normal savings achieved from fee schedule reductions and PPO discounts.
- iVOS Review Software - Clients utilize Valley Oak software to perform their own bill
review. iVOS Review automatically calculates appropriate medical fees and PPO
discounts. The application then applies the required rules so that each line of every
medical bill is repriced consistently and correctly. Reviewers do not have to consult
manuals for various fee schedules or manage a paper-based workflow because the
schedules and rules are stored within the system. Changes in fee schedules are
automatically updated across all jurisdictions via Valley Oak's browser-based
technology.
On the front end of the bill review process, iVOS Review scans bills into the system, enabling
organizations to significantly cut back on manual data entry and paper shuffling. The electronic
document images are stored with the claim file which enables real-time access and sharing of
medical bill information, streamlining workflow and efficiency.
"By implementing iVOS Review, our claims and bill review processes are now both handled
within this 'one-system' solution, resulting in a significantly streamlined process. The overall
benefits include increased efficiency and considerable savings in time, effort and resources.
There's also a faster turnaround time on bills, which makes our providers happy," said Scott
Schimke, executive director of risk management for Golden State Risk Management Authority.
iVOS Review's streamlined workflow and payment process makes a high level of automation
and efficiency possible. Many organizations are turning to iVOS in order to leverage a browser-
based system that easily connects all necessary stakeholders, including bill review, claims
management, nurse case managers and even litigation. Ultimately, this type of collaboration
enables better care for injured workers and improved return-to-work outcomes.
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Kevin Confetti