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www.mitchell.com > Products & Services > Casualty Solutions > Workers’ Comp Solutions {{articleTop.Title}} My Account Locate a Pharmacy Company Careers Contact Events Search Products & Services Collision Repair Shop Solutions Physical Damage Claims Management Casualty Solutions Pharmacy Solutions Business Solutions Auto Physical Damage Auto Physical Damage - Program Freedom Casualty See the Full Picture Support & Training News COVID-19 Updates mPower Industry Trends Reports Search Products & Services Collision Repair Shop Solutions Physical Damage Claims Management Casualty Solutions Pharmacy Solutions Business Solutions Auto Physical Damage Auto Physical Damage - Program Freedom Casualty See the Full Picture Support & Training News COVID-19 Updates mPower Industry Trends Reports Home > Products & Services > Casualty Solutions > Workers’ Comp Solutions Collision Repair Shop Solutions Physical Damage Claims Management Casualty Solutions First Party Auto Casualty Solutions Third Party Liability Solutions Workers’ Comp Solutions Pharmacy Solutions Workers’ Compensation Bill Review and Claims Management Solutions Mitchell’s full spectrum of workers’ compensation solutions and services combines industry-leading software with technology-enabled services to help provide better outcomes. Mitchell Can Help You: Manage Compliance Manage Compliance Review Medical Bills Review Medical Bills Enhance Medical Management Enhance Medical Management Navigate Medical Claims Navigate Medical Claims Process Bills Electronically Process Bills Electronically Assess Performance Assess Performance Maintain Medical, Fee Schedule and Regulatory Reporting Compliance Mitchell helps our clients manage compliance with workers’ compensation regulations, including fee schedule and medical requirements and CMS and FROI/SROI reporting. Medical and Fee Schedule Compliance Mitchell employs a dedicated compliance team that not only follows the workers’ compensation legislative landscape but also helps to drive and inform its policies. Our compliance experts deliver regular industry updates to our Compliance Connection website. Mitchell delivers fee schedule data and other regulatory data updates to our software as needed. Mitchell Regulatory Reporting Solution Mitchell’s regulatory reporting solutions simplify the reporting process for our clients by providing a singular connection for state reporting and by including more than 10,000 mandatory and conditional edits. Our compliance team works directly with states on reporting requirement changes and monitors for updates. We provide multiple options to help our clients with state reporting: Data Entry Assemble, manage and submit the required information in compliance with jurisdictional regulations in our easy-to-use, secure web portal. Import/Export Eliminate manual data entry by exporting FROI/SROI data from the claims management system. Submit files for IAIABC releases in a single file format. AutoTriggers Reduce the manual work involved with EDI compliance processes by automatically exporting raw claims and letting AutoTriggers take care of the rest. Manage Compliance Review Medical Bills & Contain Costs Mitchell provides flexible and customizable solutions to help our clients contain and manage workers' compensation costs. SmartAdvisor Medical Bill Review Platform Mitchell’s industry leading medical bill review platform can be customized to our customers’ specific workflows to help them accomplish their unique business goals. The technology, supported by a highly sophisticated and Mitchell-owned rules engine, helps to drive consistency and accuracy in price for care. Additionally, our medical bill review clients have access to Mitchell Mosaic—a proprietary approach to sourcing and stacking PPO networks—and the dedicated teams and tools necessary to design and customize their workflows and outcomes. Mitchell offers its medical bill review platform to its clients via one of three methods: licensed software, Technology Enabled Services or a hybrid model. Technology Enabled Services Free up time for adjusters to focus on high-value tasks and complex decision making by partnering with Mitchell’s Technology Enabled Services. The Technology Enabled Services team provides end-to-end business processing & specialty services with speed and accuracy, driving value to clients. Services include: Data Capture Services Document Management Full Bill Processing Certified Code Review Mailroom Services Quality Assurance Contact Us Today Our Technology Enabled Services team also offers additional services that add an additional layer of cost containment to the bill review process. These additional services include: Mitchell AuditPro Mitchell’s AuditPro bill auditing solution employs a unique blend of technology, data and expertise to detect billing errors, and validate and correct medical codes and charges against medical records for bill review pricing. The AuditPro solution addresses a wide range of bill types including professional and facility bills. Mitchell Specialty Bill Review Mitchell’s specialty bill review solution provides usual and customary pricing to help payors consistently pay a fair and reasonable price for out-of-network medical bills when fee schedule pricing does not exist. Mitchell Negotiations Services Mitchell organizes and surfaces facts that were gathered during investigation, liability assessment and injury evaluation to help adjusters efficiently build a clear negotiation strategy. Mitchell’s negotiation module is highly flexible and can integrate the following features with a claims management system. Automate and Enhance Medical Management Programs Help reduce the cost and time historically required for medical review on referrals and bills. Enhance your organization’s medical management program and teams with Mitchell ReviewStat®, an intuitive web-based and highly automated workflow optimization solution built to facilitate and monitor the progress of cases for utilization review, peer review and case management. Learn how the ReviewStat medical management software can help you realize greater efficiencies and increase productivity within your utilization review and case management teams. Realize Greater Efficiencies Navigate Medical Claims to the Best Outcomes with Clinical Services Get your injured workers back to health, safely and quickly while maintaining costs. Some of our services include: Utilization Management Physician Advisor Services Nurse Case Management Independent Medical Exams Pharmaceutical Intervention Mitchell’s independent internal review and workers’ compensation utilization management programs are accredited by URAC, an independent nonprofit organization. *In accordance with the California state laws and regulations, you can view Mitchell’s California Utilization Review plan here. For more information, including a comprehensive list of our clinical services offerings, please visit genexservices.com. Receive Bills and Submit Payments Electronically SmartBill Mitchell's SmartBill solution processes electronic bills to help increase efficiency and drive savings for our clients. Mitchell understands the value of increasing eBill penetration and works directly with providers to encourage migration from paper to electronic billing. SmartPay Mitchell’s SmartPay solution offers end-to-end automated payment reconciliation and drives efficiencies in the payment process, and help reduce material and labor costs. Mitchell provides a unique, fully outsourced payment solution that operates using an opt-in model for providers and delivers payments via check, ACH or virtual card based on provider preference. Streamline Payments Assess Performance with Advanced Reporting and Analytics Reveal custom and actionable program insights with robust tools. Mitchell provides a variety of both standard and ad-hoc reports for our clients, including but not limited to: SmartReports Rep...