Medical Bill Review & PPO Access

Hoover employs industry-leading technology to quickly incorporate customer-specific rules and changing jurisdictional requirements to reprice medical bills everywhere our customers do business…

At Hoover, medical bill repricing services involve the expert analysis of medical bills using industry-leading software, in conjunction with the most complete, accurate and up‐to‐date data available in states where medical bills are dictated by fee schedule, or where usual and customary charges apply. Our department is managed by RNs with an average of 20 years of repricing experience, and bills are repriced by certified bill review/coding professionals with at least three years of coding experience.

Service Features Include:

• Affiliations with numerous Preferred Provider Organizations (PPOs) and specialty networks, like KeyScripts, offering services at rates below fee schedule or usual & customary (U&C) charges
• Ensures maximum savings for WC, Auto, and PIP claims
• Incorporation of medical provider panels developed geographically by county
• Our repricing system can provided detailed data about customer provider panels
• Capability to base code acceptance on body-mapping
• Receipt of medicals via digital clearinghouse