Workers’ compensation claims are often difficult and tedious to manage, ultimately requiring additional hospital resources in order to get these accounts paid properly.
Argos Health alleviates these concerns by securely managing the hospital’s workers’ compensation inventory so that your team can stay focused on the bigger picture.
Introducing CompMed Analytics™
Powered by our innovative proprietary software platform, CompMed Analytics, our expert staff works efficiently to get difficult & tedious workers’ compensation claims paid properly.
Provide our staff with visual snapshots of claim information to include dynamic charts, tables, and other options to monitor data, trends & account status.
Interactive Payer Portal
A comprehensive directory compiled to help our staff determine correct payer information instantly.
Our Team of Experts Can Help
Reimbursement pressures continue to accelerate within healthcare systems. Our knowledgeable staff understands that workers’ compensation payments can be difficult and time-consuming, often leading to revenue captured that is not worth the resources dedicated to solving these complex claims.
Equipped with a complete understanding of workers’ compensation law, clinical care delivery and a profound knowledge of the healthcare system, we are able to offer a full-service solution to resolve each workers’ compensation case in a timely manner to help the hospitals, as well as the patients.
Registration & Front End
We identify the correct payer for each workers’ compensation visit & register the insurance properly in order for bills to drop correctly. Our Front End Specialists can process your First Report of Injuries and have the training to report new injuries electronically with the Bureau of Workers’ Compensation.
Through our streamlined process, our goal is to get as many workers’ compensation visits into this category as possible. Although many obstacles are unavoidable, we work to identify those as early as possible to expedite your payments.
Coding & Billing
The number one denial is with diagnosis codes. It occurs nearly 35% of the time with each submitted bill. Our team interfaces with the hospital billing and coding teams to assure compliance practices are closely adhered to with the goal of minimizing coding rework.
Authorization & Appeals
Retro authorizations are time-consuming, however, very necessary in the workers’ compensation industry. We have an on-staff clinical team which includes nurses, physician advisors, and legal counsel to reach out to the appropriate individual to get the issue addressed.
Whether the bill was denied for allowances, date ranges, coding discrepancies, billing issues, or any other reason that may occur with your workers’ compensation claims, our team takes a step-by-step approach through proven algorithms to identify and solve the problem.
Once a payment has been posted, we carefully review the EOB to confirm all line items were paid properly in accordance with the fee schedule set in place by the Bureau of Workers’ Compensation, other states’ Workers’ Compensation payers or the Department of Labor. Any zero and partial payments identified will continue to be worked until the bill is paid in full.