Each year millions of workers are injured on the job and require medical attention. Since worker's compensation is an employee benefit governed by individual states, there are significant and varying rules and regulations involved in processing claims and obtaining reimbursements. Normal billing patterns in healthcare can't be applied to work comp because the nature of processing claims and the payer system is fundamentally different. This unique payor class lacks eligibility systems and invoicing remains a print and mail system burdened by "attachments"​. The collection process includes phone calls, high invoice submission rates and payment appeals. Finally, reimbursement rates differ by jurisdiction and providers don't know if payments are correct or not.

UHS specializes in end to end management of worker's compensation claims for hospitals, surgery centers, and healthcare systems. We combine an in-depth knowledge of the work comp payor system with technology to create efficient methods of processing work comp claims from patient registration to cash application. Founded in 1997, UHS has managed over 2.1 million work comp patients, 5.7 million encounters, and $7.4 billion in work comp A/R for healthcare systems across the U.S.

We take responsibility for processing work comp claims at patient registration. Our front end solution manages claim verifications and treatment authorizations as well as gathers important claim related information that will be needed to facilitate accurate billing and quick and accurate reimbursement. Healthcare providers bill claims in 837 format through clearinghouses to UHS.  UHS handles the generation and distribution of invoices and performs all collection work.  UHS ensures payments are accurate and cash posting is automated with 835 ERAs.

Results include better collection yields, fewer unpaid accounts, lower A/R, process automation and lower processing costs.

Talk to us about improving your work comp revenue cycle.

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Douglas Marchant

Doug Marchant - Unified Health Services

The Reimbursement and Billing Team at Unified Health Services is responsible for meticulously managing the reimbursement and billing processes for worker's compensation claims. This includes verifying claims, ensuring treatment authorizations, gathering crucial information for accurate billing, generating and distributing invoices, and performing all necessary collection work. They also ensure payments are accurate, and cash posting is automated. Their efforts result in improved collection yields, reduced unpaid accounts, and overall lower processing costs, contributing to a more efficient work comp revenue cycle.

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