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Comprehensive Bill Review & Business Intelligence Solution

Detect and make better decisions on bill level and claim level treatment exceptions 

Comprehensive Bill Review & Business Intelligence Solution

Mitchell SmartAdvisorTM Embedded Analytics provides a solution for detecting bill level and claim level treatment exceptions so your staff can make smarter decisions that improve outcomes. SmartAdvisor Rarity Edits and Relatedness Edits are analytics technologies that identify uncommon or non-compensable treatment. With Embedded Analytics, you get to see an automated review of treatment or services that do not have—or require—utilization review decisions.

Benefits include:

  • Rarity Edits identify potentially inappropriate billing practices by flagging bills that have procedure and diagnosis codes that are rare in the industry.
  • Relatedness Edits identify outlier claim exceptions based on claim injury information and diagnosis codes, and flags them so bills can be manually reviewed.

Press

Mitchell Issues Fourth Quarter 2017 Industry Trends Report

The latest report examines how video chat is enabling new types of interactions in the claims process, the impact new technologies...

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Articles

President Declares Opioid Crisis a National Public Health Emergency

On October 26, 2017, President Trump issued a memo instructing the acting Health and Human Services Secretary, Eric Hargan, to dec...

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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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