Workers’ Compensation Services
The pinnacle of predictive analytics and advanced technology for an innovative, dynamic approach to healthcare reimbursement.
Bill Review has advanced, your solution has not
The reimbursement landscape has evolved; traditional solutions no longer suffice.
You may be satisfied with your current savings. WellRithms is set to redefine those expectations. With a fusion of:
- Advanced Technology Enhancements
- Expert Medical Oversight
- Tested Legal Strategy
- Legacy Industry Leadership
- Never Before Seen Savings Opportunities
We elevate billing accuracy and fairness to new heights. Every bill undergoes a meticulous evaluation to prevent overpayment. We audit for errors, waste, and abuse, apply precise repricing when needed, and confidently stand by the savings we deliver, ensuring our work holds up under scrutiny.
Don’t let your bill review solution be on the wrong side of history.
And Rising
That’s the average cost of a workers’ comp medical bill. And it’s inflated by overbilling.
Specialty Bill Review
BE SURE YOU’RE NOT OVERPAYING IN A WORLD OF OVERBILLING
See how WellRithms can save you money, especially around high-dollar claims.
USUAL, CUSTOMARY, AND REASONABLE REPRICING
WellRithms offers specialized repricing services in Usual, Customary, Reasonable (UCR) states, focusing on bills not subject to state fee schedules. So why should you be paying a network access fee for a discount that doesn’t even save you money?
Stop Loss Outlier Inpatient Physician Review
Never before seen savings are now available in these fee schedule states.
Some providers in fee schedule states take advantage of outlier rules by using inflationary billing tactics to increase prices and secure higher payments.
WellRithms exposes these overcharges and ensures the allowed charges are accurate, significantly reducing costs.
Air & Ground Ambulance Review & Repricing
Air and ground ambulance bills often come with hidden fees and egregious charges. WellRithms spots unbundled charges and assesses transport services based on medical necessity, ensuring that every bill is accurate before payment is made.
Shield Indemnification™
Guaranteeing our recommended payment amount
Shield Indemnification™ protects carriers, plans, and members from the adverse impact of litigation expenses and balance billing tactics.
We are backed by a captive insurance company that allows for the transfer of all legal and financial liability from the payor to WellRithms, thereby guaranteeing the recommended payment amount.
Featured Insights
Straightening Out “Crooked” Overbilling for Spine Surgery
Bill of the Month
When a $316,383 workers’ compensation bill arrived for examination by the WellRithms’ physician and surgeon bill reviewers, they agreed that the…
Surmounting the fiduciary risk of rampant medical overbilling
Media
Surmounting the fiduciary risk of rampant medical overbilling Technology and medical expertise support health and welfare plan sponsors, risk managers in…
Even Doctors are Falling into this Trap
Blog
As hospital systems continue to consolidate their market power, they also continue to find new ways to over bill patients, union…
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