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Bill Review Software

SmartAdvisor™ software suite features and add-ons

Mitchell SmartAdvisor™ is the leading bill review solution for workers’ compensation payors. Medical injury insurers, third-party administrators, self-insured employers, state funds and managed care companies count on SmartAdvisor to increase speed and accuracy, improve operational efficiencies and lower costs. It offers a unique combination of performance software, client services and best-in-class partnerships that adapt to any casualty bill review environment—from the simplest to the most complex—including yours.

Key New SmartAdvisor 7.0 Features:

Capstone® Release 3 reduces exception processing time by centralizing information on one screen to enable quick decisions and actions with a single click. 

Claimant Dashboard in the Claims Examiner Portal provides advanced visualization of medical treatments and spend on a claim to quickly view the current financial and medical development of your claim.

Fee Schedule Impact Analysis is an on-demand, custom bill-review analyzer that can ensure compliance through monitoring potential impact to historical bill allowances. 

ICD-10 Transition Support Tools allow processing of CMS-1500 and UB-04 bills with ICD-10 Diagnosis and Procedure Codes. Includes bill entry/bill import, bill adjudication and jurisdictional reporting for paper and electronic bills. 

ServiceConnector™ is a central location for adjusters to order services and products, facilitating a single integration to provider networks/insurers for fast, easy ordering and tracking of referrals and their status. 

SmartGuidelines™ provides access to Official Disability Guidelines (ODG) directly from Mitchell SmartAdvisor and the Claims Examiner Portal. It's fully integrated with ODG UR Advisor to quickly and automatically identify the frequency of use of medical procedures, expected disability durations, and average duration trends based on the combination of ICD and CPT codes. 


Mitchell SmartAdvisor Suite Offers

Mitchell SmartAdvisor Suite Offers
Capstone Decision Manager

Capstone Decision Manager

Implement your own custom business rules—completely automating the routing, review, and repricing of a substantial percentage of all medical bills.

Claimant Dashboard

Claimant Dashboard

An advanced visualization tool for medical treatments and spend for a given claimant, allowing you to quickly view current financial and medical development of a claim.

Claims Examiner Portal

Claims Examiner Portal

A web-based portal into a "real-time" window of the bill review process, allowing review review and reporting on medical situations affecting the claims.

Custom Workflow Modeler

Custom Workflow Modeler

Set up your workflows to run exactly the way you need them to run, resulting in true automation and minimizing the costly exceptions.

SmartBill and SmartPay

SmartBill and SmartPay

Transact medical bills, payments, and remittance notices electronically—reducing operating expenses and freeing up staff time to handle the more critical responsibilities.

Embedded Analytics

Embedded Analytics

A smarter bill review analytics tool to detect bill level and claim level treatment exceptions, focusing on unusual and/or uncommon treatments, as well as the relationship of body part, diagnosis, and procedures performed.

Network Optimization

Network Management and Optimization

Strategic placement of network offerings can be customized to your business processes—leveraging our Best-In-Class network offerings—and putting the right networks in the right order to provide an optimized network solution.

Premier Medical Reporting

Premier Medical Reporting

Reduce the complexity of complying with numerous state government regulatory requirements by combining automated decision-making features and comprehensive maintenance screens to provide more efficient and effective medical reporting workflows.

Price Interpreter

Price Interpreter

Reduce the complexity of complying with numerous state government regulatory requirements by combining automated decision-making features and comprehensive maintenance screens to provide more efficient and effective medical reporting workflows.

ServiceConnector

ServiceConnector

Provides a central location to order services and products. Multiple referrals for various service types, such as durable medical equipment (DME), physical therapy (PT), and Diagnostic Imaging are all supported in a unified process.

SmartGuidelines™

SmartGuidelines

Quickly identify the frequency of use of medical procedures, expected disability durations, and average duration trends based on the combination of ICD and CPT codes.

SmartReports

SmartReports

Create reports for trends, drivers, and programs to help you react quickly, adjust, and apply changes to the bill review process to create a continuous cycle of improvement.

UR Decision Manager

UR Decision Manager

Seamlessly integrates medical bill review and utilization review to allow for more accurate workers' compensation medical bill pricing adjustments. URDM is designed to "automatically" apply Utilization Review recommendations to a bill and to allow manual intervention only when needed.

Choose Your Deployment Model

Choose Your Deployment Model

We make sure the SmartAdvisor solution is a personal solution for you. Mitchell will host SmartAdvisor as an Application Service Provider (ASP) and perform hardware maintenance and software updates automatically. Our ASP model helps free up your system's resources and eliminates major capital expenses. Or you can choose to host SmartAdvisor on the intranet behind your firewall using an Internally-Hosted Licensed model.

Press

Mitchell Adds New Medical Bill Review Tools With SmartAdvisor™ 7.0

Solution delivers increased compliance, cost containment, connectivity, and ease-of-use to workers’ comp claim processes

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Articles

9 Reasons to Use Email for Marketing, Retention and Referrals By Frank Terlep

If you need a reason to adopt email in your marketing program.

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Webinars

Senate Bill 863 Webinar

Senate Bill No. 863 was lauded as a major reform of California’s $16 billion Workers’ Compensation system. In this sho...

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