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Mitchell Announces Third Party Medicare Module Available in DecisionPoint Platform

February 25, 2020
2 MIN READ

Mitchell International

 

A third party Medicare module is now available in the Mitchell DecisionPoint bill review platform, allowing carriers to automatically apply a percentage multiplier of the Medicare fee schedule to review medical bills within a third party claim. The new module helps adjusters deliver consistent recommendations when negotiating settlements for third party claims while considering the unique aspects of each claim.

 

 

How It Works

 

 

The Mitchell DecisionPoint Third Party Medicare Module is designed to be highly configurable, allowing each client to select the percentage of the Medicare fee schedule they want to use as their benchmark pricing and the specific Medicare modules that they choose to apply. Each Medicare fee schedule is applied to the region of the U.S. outlined by CMS. For example, if a carrier chooses to use a 200 percent multiplier of the Medicare fee schedule as its benchmark, DecisionPoint will review bills to two times what the Medicare fee schedule recommends to pay.

 

 

Benefits of Using the Medicare Fee Schedule for Third Party Bills

 

 

1. Provide Comprehensive Bill Review Coverage for Third Party Medical Bills

 

 

Using the Medicare fee schedule can help carriers better manage their cost in review of bodily injury claims.

 

 

2. Improve Adjuster Negotiation

 

 

The Medicare fee schedule is a national standard and well-known fee schedule that can help guide adjusters in the review of complex medical bills and explaining those adjustments when negotiating with attorneys.

 

 

3. Boost Adjuster Efficiency

 

 

Integrating the Mitchell DecisionPoint Third Party Medicare Module can improve adjusters’ workflows by providing pricing information directly in DecisionPoint, eliminating the need for them to manually look up fee schedules in external systems. Additionally, automating the Medicare fee schedule within DecisionPoint can help improve closure and understanding of claims.

 

 

Learn More

 

 

The Mitchell DecisionPoint Third Party Medicare Module is a DecisionPoint add-on feature available on version 9.4 and above. To learn more about the Third Party Medicare Module within the DecisionPoint bill review platform, contact your Mitchell client services manager or email casualtysolutions@mitchell.com.