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Medical Bill Review

Maximize Your Savings

Combining experience and technology so you can contain costs.

Excessive Charges Are Costing You More Than Money

Medical billing is complex and riddled with errors. Without a thorough review process, duplicate charges, improper coding, and inflated fees go undetected, draining your resources and slowing down claim resolution.

Complex Billing Statements
Time wasting on hard to find details
Confusing, improper coding
Excessive charges illustration

Medical Bill Review

Discover the Hidden Costs

Our medical bill review service detects duplicate charges, improper billing, and coding errors that inflate your costs. We audit every line item and negotiate reductions so you keep more of your money.

Fully Customized Plans

Tailored bill review programs designed around your specific business rules, fee schedules, and cost containment goals.

Real-Time Integration

Seamless connectivity with your claims system ensures bills are processed quickly and savings are applied in real time.

In-Depth Audit and Negotiation

Every bill is audited line by line. When charges exceed fair market value, our team negotiates reductions on your behalf.

Bill Review Services

Comprehensive Cost Containment

From fee schedule application to specialty audits, we cover every angle of medical bill review.

  • Workers' Compensation state fee schedule & Usual and Customary Discounts
  • Detection of duplicate charges
  • Seamless integration of utilization review decisions
  • Specialty bill review audits
  • Detection of improper billing
  • Reductions through National PPO & Specialty Network offerings
  • Out of network negotiations
  • Customization of specific business rules

Look at What Our Customers Are Saying

"The timeliness and accuracy of Ethos bill review has earned them high-performer status with our organization. Their attention to detail consistently delivers savings we can count on."

Steve K., Director of Claims

"Their bill review team kept this out of litigation and kept the claim cost low. The negotiated reductions were significant and the turnaround time was impressive."

Claims Adjuster

Get Started in 3 Easy Steps

Talk to Us

Tell us about your bill review needs and current processes. We'll design a customized program that fits your workflow.

Provide Supporting Documentation

Submit your medical bills and supporting claim documentation. Our team begins the audit and review process immediately.

Watch the Savings Add Up

Receive detailed explanations of benefits with line-item savings applied. Track your cost containment results over time.

Frequently Asked Questions

What is the purpose of medical bill review?

Medical bill review ensures that medical charges are accurate, appropriately coded, and priced in accordance with state fee schedules and contractual agreements. The goal is to identify and eliminate overcharges, duplicate billing, and unbundled codes before payment is issued.

Does Ethos offer a portal?

Yes. Ethos provides a secure online portal where clients can submit bills, track the status of reviews, view explanations of benefits, and access savings reports in real time.

What is the typical turnaround time?

Most medical bills are reviewed and processed within 7-10 business days from receipt. Complex bills requiring specialty audits or negotiations may take additional time, but clients are kept informed throughout the process.

What PPOs are you contracted with?

Ethos is contracted with over 25 different PPOs and specialty networks nationwide, giving our clients access to significant discounts across a wide range of medical providers and facilities.

Control Costs - Don't Let Them Control You

Every dollar saved on medical bills goes straight to your bottom line. Let our experts find the savings hiding in your claims.