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Services

¨     PATIENT FINANCIAL ASSISTANCE PROGRAM

Our  Patient  Financial  Assistance  Program  is  the  oldest  of COMPSPEC’s specific services and is the foundation of our operation.  This program has been designed to secure  patient  eligibility  for various third party payment sources.  The process may begin  with (1)  screening self-pay accounts, (2) taking up where an eligibility application is  pending  determination, and (3) cases where eligibility has been  denied.   This program encompasses  identification  and  pursuit  of  all  potential payment  sources  including  Medi-Cal,  Medicare,  Victims  of  Crime,  Workers’ Compensation,  California  Children’s  Services  (CCS), Social Security Supplemental Income  (SSI),  HMO’s  /  PPO’s  and  other  contracted  payers,  indemnity  insurers, third party liability, and other third party coverage(s).                       (More.......)

¨     THIRD PARTY LIABILITY PROGRAM

COMPSPEC’s Third Party Liability Program addresses self-pay and accounts reflected on the client’s  systems  as having been paid or adjusted due to various write-off factors. By careful screening   of  such  accounts,   as  well  as  any   subpoenas received   by   the   client,  COMPSPEC’s   Eligibility   Specialists   determine   potential third party  liability to further recoup client charges. (More.......)


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UTILIZATION REVIEW PROGRAM

Additionally,   COMPSPEC  provides  assistance in obtaining Treatment  Authorization Requests  (TAR’s)  and in handling TAR appeals. COMPSPEC brings the expertise of Registered Nurses/Specialists to  assist in the handling of complex utilization review matters.  These specialists have had extensive experience  in  working  with  Medi-Cal  Field  Offices  throughout  the state and enjoy excellent and cooperative working relationships.

¨     “EARLY OUT” PROGRAM

 
COMP
SPEC’s  “Early Out”  Program  is  designed  to  assist  our  clients  in  liquidating receivables  prior  to   assignment  to  collection  agencies  or  write - offs  to  charity.  COMPSPEC interfaces with the client’s MIS (either by download or direct connection) and  produces  series  of  pre-collection  letters and/or phone calls to patients in the name  of  and on behalf of the client.  The low contingency fee rates make this a highly successful pre-collection service for our clients.

 

¨     CONSULTING SERVICES

 
COMP
SPEC  believes in sharing its expertise and experience with its clients to assist in the resolution of problem situations related to reimbursement and to increasing the productivity  and  results  of  each  client’s financial operations.  Following are several areas in which COMPSPEC has provided consultative assistance:

Re-engineering of Business Services, Admitting, and Utilization Review Departments (or sections thereof)      

Development of Procedures, Policies and Protocols

Training Financial Counselors and other business services staff

Revenue Enhancement

Staff Training and Education Programs

Vendor Selection

Key Positions Recruitment and Applicant Evaluation

Utilization Review (Obtaining TAR’s and handling TAR appeals)

Other Related Services (More.......)

 

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