Medical Review Services

With today’s ever-rising workers’ compensation costs, it is difficult to contain costs and remain compliant without having visibility throughout the bill lifecycle. Genex’s Medical Review Services applies our clinical expertise to every bill, helping you realize the greatest returns throughout your claims management program while lowering your total cost of risk.

This Solution Helps Mitigate

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Regulatory Changes & Fines

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Lost Time & Productivity

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Control Medical Costs

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Adjuster Overload

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Siloed Data

Reduce Medical Expenses

Gain transparency into cost, quality and utilization of care

We apply our extensive clinical expertise to every bill reviewed. Our dedicated compliance staff is tenured and specialized in bill review. You receive a true idea of what you are saving through audited savings, so you always get the savings that is reported to you.

Achieve Better Outcomes

Find savings based on your unique needs

A consultative approach to developing customer-centric workflow that leverages best-in-class automated rules helps advance bill analysis so you can quickly identify and implement clinical intervention actions to improve outcomes. Customer-specific medical bill review program data is used to identify actionable ways to improve your program, including easy-to-implement services and system options. More than 500 self-insured customers rely on Genex’s Medical Bill Review Services to deliver cost savings.

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Continually identify additional savings opportunities

Our customizable, data-driven program gives you a transparent view into your cost, quality, and utilization of care. Our program finds savings based on your unique needs and continually identifies opportunities for additional cost control.

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Seamless service integration

This service can be seamlessly integrated across systems and services to provide much needed visibility and deliver analytics-driven program enhancements.

Need to reduce your total cost of risk?

To help lower your total cost of risk and return injured workers to work as quickly as possible, we offer a FREE consultation with a workers’ comp expert. Together, we will begin to build a workers' comp program to meet your company’s unique needs.