Appropriate treatment. Reasonable medical costs. An experienced team reviewing the clinical and financial picture of every case.
Cost estimates · Medical oversight · Invoice audits
COST CONTROL
Clinical and financial review
Treatment & diagnosis
CLINICAL
Estimated costs
FINANCIAL
Provider agreements
CONTRACTUAL
Medical invoices
REVIEW
Illustrative review framework
From estimate to invoice review
We help insurance and assistance partners prevent excessive billing and bring medical costs to a reasonable level, with a cost estimate for every case.
By reviewing treatment against the diagnosis and analysing anticipated expenditure, our team helps prevent over-treatment and excessive cost overruns. Our cost containment work has helped insurers achieve significant savings.
Medical appropriateness guides the financial review.
Explore how cost control supports the case, from the initial estimate to the review of medical billing.
Analysis of estimated medical costs is the cornerstone of our approach. We establish an estimate for every case, giving partners a clearer basis for assessing anticipated expenditure.
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Estimated medical costs
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Treatment in relation to the diagnosis
03
Relevant provider terms
• Understand the expected cost
We monitor medical expenses while the patient remains in hospital, evaluating treatment and the length of stay to help prevent excessive cost overruns.
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Ongoing medical expense evaluation
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Treatment appropriateness
03
Length-of-stay monitoring
• Review the evolving case
Invoice audits and fraud investigation bring a further level of scrutiny to medical billing, with analysis of both invoices and medical providers.
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Medical invoice audit
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Analysis of providers and invoices
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Investigation of suspected fraud
• Scrutinise medical billing
Clinical review, provider arrangements and billing analysis work together to give your organisation greater oversight.
Treatment aligned with the diagnosis.
We verify that the treatment provided is appropriate to the diagnosis, helping prevent over-treatment and unnecessary medical expenditure.
Oversight while the case is still developing.
Our team monitors and evaluates medical expenses during hospitalisation, including the length of stay, to identify cost overruns as the case progresses.
Agreed terms, established in advance.
MRI Assist offers partners advantageous provider discounts, detailed in supplier agreements to help keep medical costs appropriate.
A clearer basis for outpatient costs.
Flat rates for outpatient visits help our partners establish clearer expectations for the costs of these services.
A closer review of medical billing.
We audit medical invoices as part of our cost control service, reviewing charges in the context of the case and the applicable provider arrangements.
Scrutiny of invoices and medical providers.
Our team investigates suspected fraud through the analysis of invoices and medical providers, supporting our partners in identifying questionable billing practices.
Our cost containment team uses an automated internal system as part of its approach to medical cost control.
Our provider arrangements help establish an appropriate financial basis for medical services. Discounts are detailed in supplier contracts, while outpatient flat rates support greater cost clarity.
Advantageous terms set out in supplier agreements.
A clear basis for the cost of outpatient services.
Applicable rates and discounts follow the relevant provider agreement.
Tell us what your organisation needs. We look forward to assisting you and will contact you as soon as possible.
For urgent operational enquiries, please contact our team directly.
CALL OUR TEAM
Cost control support for insurers, assistance companies and professional partners.
Please do not include patient names, medical records or other sensitive information.
