UHS is integral to a healthcare organization’s revenue cycle management.
We combine extensive knowledge of all workers compensation laws with technology to manage all aspects
of work comp claims from patient registration to cash application.
Problem: Work comp eligibility systems do not exist.
Solution: At registration, UHS verifies work comp coverage with employers and carriers and obtains all claim related information including bill-to and applicable fee schedule. Additionally, UHS handles all communications with adjusters and case managers to obtain treatment authorizations where necessary.
Problem: Billing is paper based. Attachments are required for processing.
Solution: All work comp charges are eBilled through clearinghouses to UHS. UHS imports attachments from the provider's EMR. UHS generates and distributes invoices to carriers for payment.
Problem: High levels of time and effort to resolve these claims. High re-work rates.
Solution: UHS performs all collection work and manages underpayments, payment denials, reimbursement appeals and reconsiderations.
Problem: Work comp fee schedules are not stored in billing systems, so underpayments are not easily identified and cash posting is manual.
Solution: UHS stores fee schedules for all states and federal programs so underpayments are easily identified and worked. UHS automates the cash posting process by providing 835 ERA files.