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Workers' Compensation

Let us help you simplify and save.

Comprehensive Data Capture and Processing

Efficient and all-inclusive bill processing designed and built to best serve you. From juggling state and federal fee schedules to capture all medical bill and data fields for comprehensive reporting capabilities.  Integra has the experience and tools to transform your workers’ compensation process.

All About the Bottom Line

We treat your money as if it were our own. We are thorough in our processing, validating data line by line, and rigorous in our application of accurate fee schedules and rules that guarantee you get maximum savings on every claim. And you can see it all for yourself, with real-time updates in your portal.

Turn-key or Custom
We create your software to meet your unique, complex needs.

Accurate
Bill review in accordance with state or federal requirements, nationally accepted billing, coding and reimbursement standards, and NCCI edits ensure bills are paid accurately, fairly, and quickly. We address first-level appeals, customer service, and support and generate a detailed explanation of review (EOR) customized to your specifications.

Adaptable
Easily incorporate updates to your software when healthcare, fee schedules, or government rules change.

Fast
Clean bills are processed in as little as a day and ready for review and approval through a web-based portal saving your staff valuable time. Images of bills and records may be accessed anytime during our review process. We can also provide you with electronic bill and record image files configured to your internal system needs.

Economical
Save money with our flat-rate fee model, unlike other companies that charge a percentage of their savings.

Social Proof

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Our Services

Federal Workers’ Compensation Bill Review

We offer unparalleled savings and services to self-insured employers, third party administrators (TPA), fully-insured payors for claims administered by the U.S. Department Office of Workers’ Compensation Programs (OWCP):

  • Energy Employees Occupational Illness Compensation program
  • Federal Employees’ Compensation Program
  • Longshore and Harbor Workers’ Compensation Program
  • Coal Mine Workers’ Compensation Program
 
Our extensive experience in bill review for federal programs provides objective, defensible reimbursement recommendations in accordance with the parameters set forth by the Office of Worker’s Compensation Programs (OWCP), saving our clients at least 75% year over year. If you are not achieving similar savings on your saving at least 75% on your federal workers’ compensation medical bills before optional PPO or other products subject to shared savings, contact us to see how much we can improve your bottom line.
 
  • Reprice bills on a line item basis in accordance with applicable federal, state, community or usual and customary fee schedules. 
  • Apply nationally accepted billing standards, coding edits, and client-specific rules. 
  • Accommodate program-specific rules and reimbursement. 
  • Interface with preferred PPO, cost-containment or other third-party vendors. 
  • Apply lesser-of logic on a line item basis against multiple reimbursement methodologies or contracted agreements. 
  • Address provider appeals or disputes.
 

Merchant Marine Act of 1920 (Jones Act)

Integra works with customers to designate a method of reimbursement that reflects fair and reasonable community based-renumeration for services with nationally accepted coding edits and reductions to address the parameters applicable to Jones Act claims.

 

State Workers’ Compensation Bill Review

Bill review in accordance with applicable state fee schedules or geographically appropriate usual and customary pricing using objective, nationally accepted billing standards, coding edits, and client specific rules.

Incorporate client-designated rules, integrate your existing PPO networks or wrap-around cost-containment arrangements for seamless, efficient results.

Generate payments directly to providers via paper check, EFT or virtual credit card, with customized explanation of review (EOR) or payment (EOP).

Partner with a company that puts efficiency, accuracy, and your savings as the top priority.

Contact us today to set up a demo.