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iVOS Review Overview
The "One-System" Solution - Integrated Claims and Bill Review
Featuring bill review:
Benefits
- Total savings (payment and workflow)
- Eliminate data interfaces, links and transfers
- Document imaging - no paper storage
- Improved workflow & turnaround
- Automatically attach bill review and PPO fees to claim files
- Automatic duplicate checking
- Immediate availability of accurate medical bill information after adjustment
- Streamline payment authorization based on user security and electronic work queues
- Flexible receipt of bills - paper or scanned documents
- Single user interface
- Shared search capabilities with claims data
- Standard and custom ad hoc reporting capabilities
- High quality bill review staff & support
The "One-System" Solution incorporates Claims Management Software and iVOS Bill Review. Bringing
these two processes together in one application streamlines workflow, improves productivity,
reduces data entry, decreases errors, prevents lost bill information, and provides total savings
for medical, administrative and operational costs. Within the "One-System" Solution you can
Send us the Bills; Valley Oak Systems' knowledgeable Bill Review experts can handle your medical
billing directly within your iVOS Claims System; or Do the Bills Yourself, by managing your own
medical billing within the iVOS "One-System" Solution.
The "One-System" Solution provides a collaborative environment that
dramatically impacts efficiency and communications for claims and bill review. It
provides complete collaboration between all parties involved: claims examiners,
supervisors, nurse case managers, medical bill analysts, legal, investigation, etc.
Everyone works on the same system, at the same time, sharing information in
real time. There are no redundant data entries. There are no interfaces.
Collaboration extends to email, notes, diary communication, business rules,
medical bills, treatment plans, reports and access to common claims information.
The "One-System" solution empowers everyone to make better, more informed
decisions in a much shorter time frame, ultimately lowering costs.
Elimination of cumbersome data interfaces and transfers. One of the
main reasons organizations want an integrated bill review module is that 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. iVOS Bill Review Software and Service solutions support
State mandated Medical Bill EDI transmissions where applicable.
A total savings package. Valley Oak Systems provides a total savings
package that results in reduced medical, administrative, and operational costs.
iVOS Review automatically applies appropriate fees and PPO discounts to every
bill, ensuring a consistent first layer of savings. Further cost reductions are also
achieved through utilization review. An integrated process also enables workflow
efficiencies that decrease the demands on human resources. For instance,
scanning and document imaging eliminate the need for costly data entry. Having
medical bill information available anytime from anywhere allows adjusters to
quickly access the data they need. These efficiencies result in increased cost-
savings.
Scanning and document imaging. On the front-end of the Valley Oak's
medical review process, scanning and document imaging enables organizations to
significantly cut back on manual data entry, paper shuffling and document
storage. Document imaging offers the advantage of being able to electronically
view medical bill information within the iVOS claims system, providing real-time
access to information and additional opportunities to streamline workflow and
improve efficiencies.
High quality bill review staff. iVOS Review Service staff members have
extensive experience in medical bill review, utilization review, and case
management within workers' compensation. With this high-level expertise,
Valley Oak has been able to quickly resolve issues as they arise and to increase
cost-savings for their clients.
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Kevin Confetti