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MEDICAL BILL REPRICING SYSTEMS

 


RES Medicare Pricer System

 

Pennsylvania Workers' Compensation & Auto Insurance

Medical Bill Repricing System

Systems Features:

  • Re-prices Inpatient, Outpatient, Medical, & Pharmacy bills.       

  • Re-prices all Auto Insurance bills according to ACT 6 rules and regulations.

  • Re-prices all Workers’ Compensation according to ACT 44 rules and regulations.

  • Runs on a Stand-Alone Microcomputer or Local Area Network.

  • User friendly.

  • Informative/Custom made EOR's.

  • Bill Review edits (NCC).

  • Patient History.

  • Management Reports.

  • Reason code table allowing the user to create payment/denial codes.

  • PPO Network available.

  • Most accurate and complete Provider Table in the industry.

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RES SERVICES

 


Medical Bill Audit (Re-pricing) Services

Services Provided:

  • We provide Medical Bill Audit services for companies that do not wish to utilize our Medical Bill Audit (re-pricing) Systems.

  • This is a process where companies send their medical bills to our office to be re-priced with the above Medical Bill Audit System.

  • After the re-pricing services are completed, we send to the client an EOR for each claim and a monthly report indicating savings and costs. 

    


Consulting

 

Services Provided:

 

  • We provide to software vendors in the Pennsylvania Workers’ Compensation and Auto Insurance industry, the algorithms and
    financial tables from our system to help build a Medical Bill Audit (Re-pricing) Module. 

 

 


 

OTHER SYSTEMS

 


RES Office Manager System

 

Physician and DME Company Claims Processing System

 

Systems Features:

 

  • Patient General History.
  • Patient Services History.
  • Electronically bills Medicare.
  • Print claims on CMS 1500 form.
  • Management Reports.
  • Runs on a Stand-Alone Microcomputer or Local Area Network.
  • User friendly system.