Expert Specialty Bill Review & Negotiation Services

Analytics Drive our Negotiations

Since 2003 Chapman Consulting LLC has been assisting Insurers and Self-Funded Employers to significantly reduce the cost of Workers Compensation claims and Out-of-Network Group Health claims thereby maximizing bottom-line revenue potential. Chapman Consulting LLC performs these functions using proprietary technology, proven methodology, healthcare billing expertise, and a successful hands-on negotiation process to provide the greatest possible claim reductions. In most cases, a signed settlement agreement is obtained eliminating exhausting reconsiderations.

See sample below

Types of Claims and Services:

    Problematic Workers Compensation Claims

     Out-of-Network Group Health Claims

          Claims Review, Re-pricing, and/or Negotiating with 1-5 day processing

          Significantly higher reductions compared to your current process

                    Negotiations on Work Comp claims that have already been re-priced: 

              25% – 30% hit rate with average savings of $5000.00 per claim!!

                    Negotiations on out-of-network group health claims:

              95% hit rate with 30% - 60% reductions!!

          Performance based, per-bill fee

          Molds nicely into current processing pre or post adjudication

          100% HIPAA compliant electronic bill acceptance and reports

           Defensible and guaranteed resolutions

           Exceptional customer service

           No long term contracts required

           Eliminate reconsiderations

Let us PROVE to you how much more you can save by utilizing our services.

Contact us for a “live” test:

Daphney Elliott
VP Business Development
toll free 800-906-8085
fax 512-681-9411
Daphney.Elliott@HospitalBillReview.com


Sample Results from a Workers Compensation Insurance Company:


Our review and proprietary process was implemented just prior to the check being sent to the provider. The claims had already been processed through a major bill review service that applied the mandated state fee schedule reductions and in most cases a PPO discount. Through our proprietary review and negotiation process we were able to achieve the follow results.  

   

Total Billed Charges Reviewed State Fee Schedule Reduction Prior PPO Reduction Net allowance reviewed by Chapman	$12.0 million - $4.2 million - $1.0 million $6.8 million
Total claims reviewed Negotiated claims Percentage Hit rate Savings per negotiated claim	360   128 * 35.5% $5,344
Total Additional Savings	$684,055