Medical Cost Containment Strategies You Should Know

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Few Medical Cost Containment Strategies You Must
to Know
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• WHAT IS COST CONTAINMENT?
• Cost Containment is a process of maintaining the
  purchased prices and organizational cost within
  certain specified target limits over a certain
  period of time. Few medical cost containment
  strategies are mentioned below.

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• MEDICAL MANAGEMENT
• In medical management process, an experienced
  nurse will manage and coordinate the medical care
  received by the employee. They evaluate the
  treatment and care given to the employee and
  review whether they are given appropriately at
  the right time. They aim to bring the employee
  back to normal, and if any additional test or
  treatment is needed, they will advise doctor
  treatment.

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• UTILIZATION REVIEW
• The process of independent confirmation of the
  need for medical service is called utilization
  review, and it includes,
• Precertification Reviews Taken before providing
  medical care
• Concurrent Reviews Taken during the treatment
• Retrospective Reviews Taken to verify the need
  for the treatment provided

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• MEDICAL BILL REVIEWS
• Medical bill reviews are often done by the
  companies that specialize in verifying the
  accuracy of the medical bill charges and medical
  bill diagnostic codes. This review includes the
  audit of the hospital bill and the doctor bill.

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• INDEPENDENT MEDICAL EXAMINATION
• When the employee is taken to another doctor for
  a second opinion, the independent medical
  examination is done. This examination is done
  when the employees recovery gets delayed than
  usual.

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• Visit ans-solutions.com for more information.
• Call 908 315 7500
• Email info_at_ans-solutions.com

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