Comprehensive Bill Review & Business Intelligence Solution

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

Mitchell SmartAdvisor^TM 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 International Transforms Utilization Management with the Launch of ReviewStat Solution

Highly automated medical management workflow solution streamlines medical necessity reviews, strengthens clinical decisions

Mitchell Pharmacy Solutions Prepares for Potential Impact of Hurricane Florence

Several states along the eastern seaboard have declared states of emergency and are, in some cases, ordering residents to evacuate...

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...

Watch Now