Medical costs continue to increase at an alarming rate and are the most significant
driver of workers' compensation claims costs. Increases in medical costs are a by-product
of ever-evolving provider billing techniques designed to maximize provider revenue.
These provider billing techniques have major implications for workers' compensation
payers, especially as they relate to hospital charges, which curently comprise nearly
45% of total workers' compensation payments.
FAIRPAY Solutions is the industry-leading provider of specialty bill review services
for workers' compensation payers. FAIRPAY offers in-depth review of seven bill types
in 40+ states and is proud to be the specialty bill review partner of choice for
nearly 1,000 workers' compensation clients. Our firsthand knowledge of provider
tactics coupled with our industry and jurisdictional expertise make us a formidable
ally in the fight to constrain rising medical expenses.
FAIRPAY's patent-pending technology platform delivers consistent, automated specilaty
bill review services. Our sophisticated, multi-variant analyses leverage the power
of industry-leading data to deliver highly defensible, jurisdiction-specific savings
results. Our data assets include more than 20 public and proprietary databases containing
cost, charge and accepted payment data for more than 300 million medical transactions.
FAIRPAY's analyses also incorporate state laws, statutes and case law ensuring our
reviews comply with all applicable jurisdictional requirements.
Areas of Expertise
Charge Validation Analysis
Market Value Pricing
Implant Cost Containment
Case Story: Alpha Review Corporation
Although Alpha Review's existing process delivered significant savings on the vast
majority of bills reviewed, their clients' high-dollar bills demanded a solution
that addressed providers' complex charges. MORE