Consumer driven health plans are failing employers and employees alike. It is necessary for the employee to be an educated consumer. Medliminal provides educational support and advocacy with respect to the medical costs facing individuals and their families.
Employers have a fiduciary responsibility to ensure the accuracy of charges on employee’s medical bills. Medliminal’s EMBC Program is designed to lower the overall healthcare expenditures for employers by identifying billing errors. Medliminal acts as your fiduciary compliance partner by assuring compliance with ERISA.
The Medliminal solution also helps the insurer; offering cost savings by identifying billing errors through our line-by-line medical bill review.
Medliminal’s medical bill compliance review helps your board of trustees fulfill its fiduciary duties by identifying billing errors, safeguarding the integrity of your joint finances.
REGIONAL HEALTH PLANS
While your team handles medical necessity, Medliminal focuses on examining and removing billing errors from medical bills. The Medliminal solution identifies and removes billing errors pursuant to CMS guidelines, the regional health plan’s payment policies and other governing documents.
THIRD PARTY ADMINISTRATORS
Our compliance review targets non-billable services, supplies and equipment that are already factored into the cost of other charges and/or is the cost of doing business. Medliminal does not conduct
Internal or external reviews of coding accuracy, policies and procedures to ensure you are running an efficient and liability-free operation. External audit reports measure if an organization is complying with state, federal or corporate regulations, rules and standards.
Review of medical claims to ensure proper and necessary billing by applying Medical Billing Rules and Regulations.