Welcome To MedSave
Bridging the Gap Between Health Care and Cost-Containment.
Here at MedSave, we’re committed to investing our expertise and resources in order to further achieve our cause of saving money for our clients. Since 2000, we’ve been supporting our clients and their members in a variety of ways and measuring our success by cost savings and the member experience and understanding.
Just imagine what we can achieve together!
Clinical Bill Review & Audit
MedSave is a healthcare services cost-containment solution for your company. Our review process begins with data analytics followed by a comprehensive review of claims by experts in the field of finance and medicine. This unique combination lends to cutting edge solutions for your health plan while evaluating billing standards and Plan compliance.
Dialysis Program
MedSave identifies and manages claims before, during, and after treatment. We employ several approaches to help control high-cost dialysis treatment. Our approach includes:
- Work with UR and CM Nurses and Mine Data for potential dialysis claims
- Examine Plan language to limit claims and appeal potential
- Negotiated Settlements and Proprietary Dialysis Pricing Data
- Appeals Support
High-Cost Prescriptions
Specialty drug claims are becoming a huge burden for health plans. We work with UR and CM Nurses and review RX Reporting to identify high-cost specialty drug claims and triggers flags for unsubstantiated medical claims and egregious costs.
- Monitor for FDA approval
- Work with our Medical Director and the member physician to see if lower cost alternatives exist
Implant Cost Containment
Implant costs are a huge driver for health plans. This is because of the increase growth in orthopedic, neurological, and stem-cell based implant treatments combined with an aging population. Our approach focuses on:
- Determining the actual cost of the implant device and ensures clinical appropriateness of device used and billed
- Enforcement of medical policy through focused-clinical audit
- Validation of clinical appropriateness
