Implant Cost Containment

Implant devices are very expensive and have a complex supply chain where suppliers often apply enormous markups to actual purchase price.  Additionally, complex state-specific regulations make it challenging to understand what is being billed by the facility and what the correct implant reimbursement should be.

Genex partners with ForeSight Surgical Implant Solutions to provide a comprehensive solution that determines appropriate implant reimbursement to provide significant savings to our customers. This program delivers objective, credible and defensible claim reductions and negotiations.

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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

Comprehensive review of all surgical implant charges

Genex’s Medical Bill Review Services and ForeSight are fully integrated to provide a seamless process and comprehensive review of all surgical implant charges.

Achieve Better Outcomes

Specialized knowledge

Only Genex offers specialized bill review expertise coupled with ForeSight’s knowledge of the true cost of the implant and comprehensive implant management system.  We provide:

  • Confirmation of the facility’s actual implant acquisition cost
  • Invoice-to-claim matching
  • Comprehensive applications of workers’ compensation state regulations pertinent to implants
  • Identification of disposable usage and non-implantable supplies
  • Flagging for potential fraud, waste and abuse
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Average 68% reduction in implant costs

Our program’s seamless integration, processing and fast turn-around times reduce time spent routing claims and result in maximum savings on implant bills, all while remaining compliant with jurisdictional regulations.

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.