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what we do

Custom PPO Networks for Workers' Compensation

There has been an overwhelming need in the workers' compensation arena for
quality custom PPO’s designed around the injuries that are prevalent in
the industry. Such a model offers successful, prompt, and affordable
solutions for our clients and their injured employees.

Employer’s Choice Network concentrates on the development and maintenance
of proprietary PPO’s for an array of self-insured employers, TPA’s,
insurance companies and managed care organizations. Our physicians,
hospitals, and ancillary providers are specifically selected by our
clients based on the highest quality of care, frequent communication, and
shared experiences.

Hospital Bill Auditing

Hospital bill audits can drastically influence your bottom line. There is
a 97% error rate nationwide! That is over 10 billion dollars a year in
overcharges from hospitals.

At Employer's Choice Network, our professional, clinical
staff examines the hospital bills line-by-line for duplicate charges and errors
in billing. Thorough hospital bill audits are done to compare items billed against
items ordered which many times results in major variations. Anesthesia, recovery room
and OR times are also compared with medical records to evaluate the accuracy of billed
charges. Our staff is experienced in separating charges related to the workers'
compensation injury versus charges billed for treatment of unrelated items. Once all
duplicate charges, errors, and unrelated charges have been removed, the applicable fee
schedule is applied and a PPO (Preferred Provider Organization) discount is taken for
additional savings.

Employer’s Choice Network offers a variety of reporting to assure us and
our clients that our quality never falls behind. These same proactive
reports highlight areas where improvements can be made. These reports
measure our staff’s production, accuracy, and turnaround time as well as
give our customers the ability to access our system and run their own
respective reports.

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