Medical billing that produces savings
Our bill review service is an intensive audit of your complex medical billings that produces savings compared to traditional repricing methods.
TRS offers a service that ensures cost reduction solutions. This gives the client accurate repricing, maximized savings, and allows the client to make well informed, equitable payment decisions. Trinity Bill Review solutions can be integrated with our Medical Bill Review.
Beyond savings, we give you options.
Our comprehenvise bill review program offerings include:
- Extensive coding review and repricing
Automatic fee schedule and state law adjustments
Usual, customary and reasonable review
Customizable utilization review parameters/flags
Robust duplicate bill detection
- Aggressive fraud detection
- Seamless referrals to our Specialty Bill review
Client Web Portal for bill approval and reports access
Submission of state and NCCI reporting
Provider Payments
Seamless program implementation that we like to call Simple mentation.
Audits by highly-experienced auditing & medical staff that reduce financial exposure.
Our bill review team includes seasoned:
•Certified coders
•Nurse auditors
•Physician advisors
•Professional negotiators
•Leadership with claims backgrounds
Equipped
Our team is equipped to deal with complex medical bills and their many intricacies by performing in-depth audits
Coding Audit
Clinical Audit
Compensability Audit
State Rules / Case Law Audit
Trinity targets a range of complicated billings while reducing the financial exposure to our clients such as:
Out-of-network
Air ambulance bills
Diagnostic testing bills
Home health bills
Hospital
Implant bills
Surgery bills
Trauma bills
3 Key Components
Combining Technology & Professional Know-How
Trinity’s Medical Bill Review program utilizes three key components: data integrity, advanced technologies, and professional expertise. Without each of these elements, Trinity would not be able to deliver the return on investment (ROI) clients have come to expect from us.*
Data Integrity
Data integrity is the first crucial step in our bill review process. We ensure data accuracy through redundancy, automated scrubbing, dynamic logic, and manual intervention as appropriate.
Advanced Tech
Trinity’s technology combines advanced software architecture, multiple data sources, sophisticated information management techniques, artificial intelligence (A.I.) tools and complex automation to create a powerful system that helps maximize savings.
Professional Expertise
Most important to Trinity’s process is our people. TRS auditors look at the nuances of medical bills and records to bring clients enhanced financial outcomes. Capitalizing on the expertises of our people allows Trinity to produce quality in our bill review process, not just quantity.
*Additional return in fees when enhanced with our Specialty Bill Review