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Why CPR for Medical Claim Management Services
Over the course of our 20 years serving producers of self funded business
we have worked with and observed various resources for Medical Claims
Management.
In our opinion CPR provides a turn key solution for medical management
services focusing on best practices; superior turn-around time & quality
customer service using the right combination of extensive clinical
experience in all nursing specialties and experience and expertise in the
insurance/risk industry. This combination is important in order to
accurately evaluate and assess risk from both a business and medical
perspective. The principals have worked in the reinsurance and managed
care markets, adding a perspective that is a valuable resource to their
clients.
CPR’s medical management services include:
- Utilization management
- Case management
- Disease management
- Claims management
- Medical review
- Medical underwriting/cost projections
- Hospital bill audits/negotiations
- Specialty networks available for their clients for transplants,
dialysis, cancer, specialty RX
CPR customizes each account to meet their client’s individual
requirements. Nursing coverage is 24 hour/7days, including holidays and
has a medical director that rounds with their nurses on a daily basis.
Since CPR has the capability to review pre-sale underwriting, manage
claims and provide managed care services, when the renewal comes there are
no surprises.
It is easy to talk a great game about medical management services so we
invite you to check out CPR’s website at
www.cpr-rm.com for a detailed explanation of each of
their services. Please contact CPR Risk Management directly.
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