“Powerful”
IN-HOUSE NEGOTIATION DIVISION PPO Newtworks Mega Assistance, through its affiliation with major PPO networks, offers universal access to medical service providders at preferential rates. Negotiation The Mega Team includes senior medical practitioners and other professionals. Its negotiation Department examines invoices on a claim-by claim basis trough a rigorous cost control exercise which consistently achieves considerable savings on medical expenses. Over 20 years of historical data facilitates the repricing of medical bills by the Mega Team. AUDITS & ASSESSMENTS Utilization Reviews Mega Assistance ensures that hospitalization occurs only when medically necessary and in the most cost-effective setting. After a beneficiary is admitted, Mega undertakes daily care management procedures (breadth and scope care, timely discharge, cost efficient alternative care ...) Medical Bill Audits Mega Assistance reviews medical bills or assure accuracy and compliance with customary and usual fees and fee schedules. Mega determines that invoices reflect only the services and care delivered. Independent Medical Evaluations Mega Assistance, with it's associates, conducts "after the fact" independent medical reviews. FRAUD DETECTION By its rigorous management of medical providers in the local communities, Mega Assistance prevents abuse and fraud in the delivery and cost of services.
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COST CONTAINEMENT

Tel: 1 604 669 7582 Fax: 1 604 682 1790 info@ megassistance.com
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