What is Circle Care Medical Bill Review?

Circle Care Medical Bill Review caters to the need to Save Money by only paying True & Accurate Medical Bills, over your already negotiated network discounts.

• It is a proven fact that Billions of dollars a year are paid erroneous to medical providers Hospitals / Doctors as they make mistakes on their medical bill. Our services aim to identify these medical billing errors & overcharges so Insurance Companies, Self Insured Groups, Third Party Administrators & Workers Compensation Companies only pay True & Accurate medical bills.
• Our services and software analysis tools can be applied on a Pre-pay or Post payment basis, Circle Care will provide you with a explanation of review of all ineligible charges for every single claim.

Why Do You Need Our Circle Care Medical Bill Review?

“Our philosophy circles around the fact that Hospitals & Medical providers make constant billing mistakes, costing health consumers Billions of Dollars a year on inaccurate payments. By contracting our services you WILL SAVE MONEY and rest assure that you are only paying for the True & Accurate costs of receiving healthcare.” Our services are a true solution, as we only get paid if we find a billing error mistake.

Is An Audit The Same As A Compliance Analysis?

NOT Quite, there are important differences to Know About.
Compliance Analysis is a process that is most effectively accomplished on a pre-pay basis by combining our software forensics and nurse review. A forensic analysis is performed on each field of the summary bill, known as a UB04 claim form, and a forensic analysis on each line item of the detailed itemized statements breaking down each summary charge contained on the UB04. This analysis applies the federal compliance regulations and billing guidelines to each line item, identifying errors and flagging certain other line items for professional review.

This is what we refer to as getting the claim to be “True & Accurate” from the start.

These services can also be done on a post-pay basis, the goal is to save your group or client from over-paying and let them keep their money, rather than have to fight to get it back. That is why we always recommend doing this on a pre-pay or pre-adjudication basis.

As always, Circle Care will provide you with a detailed report of all charges that are ineligible for reimbursement, available via a software platform – all before you have paid the bill. That means you and your team are empowered to pay only accurate charges from the get-go.

We can get you started with just a handful of claims and show you the savings.

This is why, having access to Circle Care Medical Bill Review makes “GOOD HEALTH SENSE”.

CIRCLE CARE MANAGEMENT: PUTTING THE “CARE” BACK IN HEALTHCARE