WORKERS’ COMP SOLUTIONS

Workers’ Compensation Bill Review & Claims Management Solutions

Mitchell’s full spectrum of workers’ compensation solutions and services combines industry-leading software with technology-enabled services to help provide better outcomes.

Maintain Medical, Fee Schedule & Regulatory Reporting Compliance

Mitchell helps our clients manage compliance with workers’ compensation regulations, including fee schedule and medical requirements and CMS and FROI/SROI reporting.

Dedicated Compliance Team

Medical & Fee Schedule Compliance

Mitchell employs a dedicated compliance team that not only follows the workers’ compensation legislative landscape but also helps to drive and inform its policies. Our compliance experts deliver regular industry updates to our Compliance Connection website. Mitchell delivers fee schedule data and other regulatory data updates to our software as needed.

A Singular Connection For State Reporting

Mitchell Regulatory Reporting Solution

Mitchell’s regulatory reporting solutions simplify the reporting process for our clients by providing a singular connection for state reporting and by including more than 10,000 mandatory and conditional edits. Our compliance team works directly with states on reporting requirement changes and monitors for updates.

We Provide Multiple Options to Help Our Clients With State Reporting
Data Entry

Assemble, manage and submit the required information in compliance with jurisdictional regulations in our easy-to-use, secure web portal.

Import/Export

Eliminate manual data entry by exporting FROI/SROI data from the claims management system. Submit files for IAIABC releases in a single file format.

AutoTriggers

Reduce the manual work involved with EDI compliance processes by automatically exporting raw claims and letting AutoTriggers take care of the rest.

Review Medical Bills & Contain Costs

Mitchell provides flexible and customizable solutions to help our clients contain and manage workers' compensation costs.

CUSTOMIZED TO YOUR WORKFLOW

SmartAdvisor Medical Bill Review Platform

Mitchell’s industry leading medical bill review platform can be customized to our customers’ specific workflows to help them accomplish their unique business goals. The technology, supported by a highly sophisticated and Mitchell-owned rules engine, helps to drive consistency and accuracy in price for care. Additionally, our medical bill review clients have access to Mitchell Mosaic—a proprietary approach to sourcing and stacking PPO networks—and the dedicated teams and tools necessary to design and customize their workflows and outcomes.

Mitchell offers its medical bill review platform to its clients via one of three methods: licensed software, Technology Enabled Services or a hybrid model.

speed & accuracy

Technology Enabled Services

Free up time for adjusters to focus on high-value tasks and complex decision making by partnering with Mitchell’s Technology Enabled Services. The Technology Enabled Services team provides end-to-end business processing & specialty services with speed and accuracy, driving value to clients. Services include:

  • Data Capture Services
  • Document Management
  • Full Bill Processing
  • Certified Code Review
  • Mailroom Services
  • Quality Assurance
Learn More

Our Technology Enabled Services Team Also Offers Additional Services That Add an Additional Layer of Cost Containment to the Bill Review Process

These additional services include:

Mitchell AuditPro

Mitchell’s AuditPro bill auditing solution employs a unique blend of technology, data and expertise to detect billing errors, and validate and correct medical codes and charges against medical records for bill review pricing. The AuditPro solution addresses a wide range of bill types including professional and facility bills.

Mitchell Specialty Bill Review

Mitchell’s specialty bill review solution provides usual and customary pricing to help payors consistently pay a fair and reasonable price for out-of-network medical bills when fee schedule pricing does not exist.

Mitchell Negotiations Services

Mitchell’s direct-to-provider negotiation services helps secure discounted rates on medical bills using a variety of strategies including prompt-pay, data-enhanced and strategic negotiations.

Automate & Enhance Medical Management Programs

Help reduce the cost and time historically required for medical review on referrals and bills.

Enhance your organization’s medical management program and teams with Mitchell ReviewStat, an intuitive web-based and highly automated workflow optimization solution built to facilitate and monitor the progress of cases for utilization review, peer review and case management.

Learn how the ReviewStat medical management software can help you realize greater efficiencies and increase productivity within your utilization review and case management teams.

 

Learn About ReviewStat

Manage Pharmacy Claims

Mitchell ScriptAdvisor is the industry’s most complete PBM, integrating bill review, clinical and claims systems for a seamless experience and increased visibility across the claim.

ScriptAdvisor®, PBM Solution

  • Dedicated Customer Service & Pharmacy Expertise 
  • Extensive National Network 
  • Comprehensive Clinical Programs 
  • Smart Technology and Pre-Build Integrations 
  • Robust Reporting & Analytics 
  • Regulatory & Compliance Expertise

Learn more about Mitchell’s full suite of end-to-end casualty solutions.

Learn About PBM

Receive Bills & Submit Payments Electronically

Woman working on her PC

SmartBill

Mitchell's SmartBill solution processes electronic bills to help increase efficiency and drive savings for our clients. Mitchell understands the value of increasing eBill penetration and works directly with providers to encourage migration from paper to electronic billing.

Streamline Bills

SmartPay

Mitchell’s SmartPay solution offers end-to-end automated payment reconciliation, drives efficiencies in the payment process and helps reduce material and labor costs.

Streamline Payments
Insights

Industry Trends & Insights

Get the latest insights and industry updates you need to know.

Auto Physical Damage Article

Average Length of Rental for Repairable Vehicles: Q2 2022

August 3, 2022
10 MIN READ

The 2nd quarter of 2022 saw average Length of Rental (LOR) for collision replacement-related rentals at 17.7 days, a 4.5-day increase from the 2nd quarter of 2021. This represents a decrease of half a day from the 1st quarter of 2022 when average LOR was 18.2 days. While the overall totals in 2022 are much higher than previous years, this quarter-to-quarter decrease of a half-day fits historical trending from the 1st quarter of the year to the 2nd quarter. While trending seems to be reverting to historical normalcy, the results themselves continue to illustrate a “new normal.”

Workers' Comp Article

U.S. Supreme Court Refuses to Hear Minnesota Workers’ Comp Cannabis Cases

July 12, 2022
3 MIN READ

On June 21, 2022, the U.S. Supreme Court released an order list for a host of cases before the Court. As part of the list, the Court noted the requests for two workers’ compensation case reviews (Musta v Mendota Heights Dental, et al, and Bierbach v Digger’s Polaris, et al) that had been denied. These two cases dealt with rulings in the state of Minnesota related to employers being required to reimburse for medical marijuana for a workers’ compensation claim.

Auto Physical Damage Article

Charged for Success: Understanding EV Trends and Their Impact

June 29, 2022
1 MIN READ

Sales of electric vehicles (EVs) grew by 85 percent in 2021 while sales of light-duty vehicles increased by just 3 percent over the same period.

Assess Performance With Advanced Reporting & Analytics

Customized Reports

Reveal Custom & Actionable Program Insights With Robust Tools

Mitchell provides a variety of both standard and ad-hoc reports for our clients, including but not limited to:

  • SmartReports
  • ReportBuilder
  • SmartTracker Performance Dashboard
  • Provider Analysis Report
  • Industry Comparison Report
  • Provider Network Performance Report
Expert support

Mitchell Claims Performance Consulting

Mitchell offers consulting services to help clients gain a deep understanding of how their current Mitchell product features can be leveraged to meet the demands of a dynamic market.

Leveraging our rich database and reporting capabilities, our Claims Performance Consulting professionals use in-depth expertise to help clients identify untapped opportunities in their claims management processing as well as reveal custom, actionable insights and benchmark their results compared to the industry.

Want To Learn More About Mitchell’s Full Suite Of End-to-End Casualty Solutions? Contact Us Here