True Course Medical Data Analysis and Claim Services

Services

Medical Fee Schedule Development

True Course is at the forefront of workers' compensation medical fee schedule development. In most jurisdictions, medical costs are the fastest rising component of workers' compensation programs. Aside from our longtime involvement in the Wisconsin workers' compensation system, with our certified databases and contracted database work for the State of Wisconsin, Glen Boyle is a nationally recognized authority in medical fee schedule development.

True Course can provide expert advice, and actual fee schedule development, to state agencies and interested organizations in the following areas:

• Adopting Medicare Fee Schedules
• Developing Charged-Based Fee Schedules
• Interfacing with Key Stakeholders: Hospital Associations; Medical Societies; Insurance Organizations; Labor Organizations; Management Groups
• Designing Statistical Models to Analyze the Economic Impact of Fee Schedule Implementation

The key to successful medical fee schedule development and implementation in a workers' compensation system requires a full understanding of ALL components of medical services and payment systems — let True Course guide you!

Medical Bill Review Services

True Course has a limited and highly specialized medical bill review program: the program is primarily focused upon the Wisconsin workers' compensation market. True Course's effectiveness is related to precise dovetailing of the Health EOS by Multiplan PPO and the most comprehensive set of certified databases in Wisconsin. True Course's attention to detail, knowledge of the workers' compensations system, customer service, and expertise in facility-based medical charges has created an unparalleled service. The services are currently provided to a select number of insurance companies and self-insured employers with a major presence in the Wisconsin market. One client refers to the True Course program as the "Gold Standard" in Wisconsin.

The availability of this service is limited, but you are encouraged to contact Glen Boyle at 414-545-7170 if you have any interest or questions regarding this service.

True Course now offers a no-cost Quick Review Service for non-client organizations (any provider group, claim payer, or employer) who want to inquire about certain medical services and reimbursement levels in the Wisconsin system (2 per organization per year). The Quick Review Service simply allows a very easy, but very limited access to our knowledge base in regards to the reasonableness of fees, and/or need for additional review. Use our Quick Review Form to try this service.

Medical Data Analysis

True Course provides a wide array of statistical analysis derived from both public and private medical databases for many aspects of the healthcare and claims industry. Examples include:

• Projected Medical Costs
• Historical Analysis
• Facility/Payor Comparisons
• Medical Trends
• Fee Schedule Development

This area of our business is extremely customized and is performed on a case-by-case basis. Contact True Course for further discussions in this area.