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Auto Casualty Case Study

AuditPro Corrected Inflated Medical Billing

A client encountered billing challenges with an outpatient ASC bill concerning a procedure that involved removing a bony growth or "osteophyte." The billing problem arose when fluoroscopy, an imaging technique used during the procedure, was incorrectly billed separately instead of being included in the overall procedure cost. This error by the surgery center led to billing challenges that required correction since the fluoroscopy should not have been charged as an additional service.

Auto Casualty Case Study

AuditPro Delivered 92% Reduction in Billing Errors

PC360 Article

Workers' comp medical costs stabilizing nationally amid state-level volatility

Curious about medical costs in the workers' comp industry? Check out the latest PC 360 article featuring insights from our Enlyte Medical Price Index (MPI) Report, with expert analysis by Michele Hibbert.

Workers' Comp Case Study

Unlocking Millions in Savings Through Optimized Medical Bill Processing

Discover how our innovative solution delivered millions in savings, reduced FTEs, and improved turnaround time for efficient and effective medical bill reviews.

Auto Casualty Article

Balanced Regulatory Environment: A Key Component to Unlocking the Value of Specialty Bill Review

2 MIN READ

Without the use of Specialty Bill Review (SBR), payers risk paying for errors or abuses created by providers with problematic billing practices. The regulatory climate in each state is a key component to ensuring fair and reasonable payment of medical bills especially in non-fee schedule states 

Workers' Comp Podcast

Demystifying the Nuances of Specialty Bill Review Regulations

Navigate the complexities of Specialty Bill Review Regulations with Enlyte. Tune into our podcast where Trevor Davis, our Director of Regulatory Affairs, offers insights into dispute management, regulatory changes, and our strategic efforts to shape the landscape.

Auto Casualty Article

Seven Technology Features in Utilization Review Software to Control Medical Costs

3 MIN READ

Discover essential features of utilization review software that can help combat rising medical costs in workers' compensation.

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