Addresses Financial Impact of Disconnect Between Utilization Review and Bill Review

A recent study by Navigant Consulting conducted for the California Department of Insurance confirms the magnitude of the opportunity. Navigant reviewed a random sample of 373 medical bills and found that 27.4 percent of the sample dollars were paid in error. Navigant’s “Workers’ Compensation Medical Payment Accuracy Study (June 17, 2008)” is available at DataCare’s booth at the California Self-Insurers Association Conference on March 29, 2010 or found at http://www.dir.ca.gov/CHSWC/Reports/2009/Navigant_Medical_Payment_Report.pdf
According to Catherine Sreckovich, Managing Director of Navigant Consulting, “Bill Zee represents the type of creative use of computer technology which we discussed in our ‘Workers’ Compensation Medical Payment Accuracy Study.’ We are encouraged by the development of this type of tool, which we believe industry participants will want to evaluate.”
DataCare developed Bill Zee in close collaboration with a California Fortune 100 firm that self-insures and self-administers its workers’ compensation claims. The firm was motivated to add this verification process after an internal audit highlighted a disconnect between utilization review treatment authorizations and the current bill review process. DataCare’s Bill Zee is the first product to address this disconnect with automation. Self-insured corporations, insurance companies and third-party administrators serving the workers’ compensation market now have a tool that minimizes this gap and its related financial impact.
“Current bill review systems apply appropriate discounts to medical bills and weed out obvious overpayments. But verifying that the final bill is for a treatment authorized by a utilization review is a manual process and subject to interpretation. Bill Zee automates the process and flags questionable bills for a higher level of scrutiny,” said Paulo Franca, Ph.D., President and CTO of DataCare.
Bill Zee is offered as Software-as-a-Service (SaaS). The web-based software is HIPPA and SAS-70 compliant. Bill Zee is part of DataCare’s software solutions for utilization review and case management applications for the workers’ compensation market.
About DataCare Corporation (http://www.datacare.com)
DataCare provides software solutions that help the workers’ compensation industry better manage medical treatment and billing. Our users streamline their workflow and report saving time and money with better visibility into status, quality, and workload issues. Our sister company, EK Health Services, provides a complete line of workers’ compensation healthcare management services.

Other press releases from DataCare Corporation
- DataCare Case Management Software Integrates Industry-Leading Guidelines from the Reed Group to Better Manage Return-to-Work - April 11th, 2012
- DataCare Helps Prepare Technology Leaders of the Future - November 2nd, 2011
- Mitchell Selects DataCare Case Management and Utilization Review Software for Excellence in Innovation - August 19th, 2011
- Cutting Complexity in Workers’ Compensation Utilization Review Programs - July 21st, 2011
- Total Managed Care Selects Web-based Utilization Review and Case Management Software from DataCare Corporation - June 28th, 2011
Contact Information
Mike AllenDataCare Corporation
Phone: 866-834-2334
Email: mallen@datacare.com
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