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Bill Review Services

Reduce Administration Burden, Improve Efficiency.

Dedicated teams of certified bill reviewers to maintain a low aging of bills and improve quality while reducing healthcare cost.

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Bill Review Services

Support across all phases of the Billing Review lifecycle

Data Capture

Data Capture

OCR or manual KFI across bill types

Repricing & Rules Application

Repricing & Rules Application

Extensive coding review and repricing, fee schedules, and state law adjustments

Nurse Audit

Nurse Audit

Review of service accuracy, CPT codes based on guidelines, and payments to ensure appropriate fees

Reconsideration

Reconsideration

Appeals validity, 2nd review, and PPO reconsiderations

Review Bills of Various Levels, Complexity and Cost

Medical Provider Bills

TX Bills

Hospital Bills

CA Laboratory/Pathology Bills

Poor Quality is Costly. At Shearwater Health, Quality is Our Top Priority.

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Financial Accuracy

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Bill Processing Time

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Healthcare IT Platforms

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Client Satisfaction

Robust Project Management Framework

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Technology
IT integration with our secure contact centers
Staff Onboarding
Methods in place to ensure accurate and efficient delivery
Training
Staff trains on your content and passes certification.
Quality
Success metrics and remediation processes are defined

Our Accreditations & Certifications

Health Utilization Management Certification
08/01/2027
r2 HITRUST Certified badge
Alliance for Ethical International Recruitment Practices graphic
Workers' Compensation Utilization Management
04/01/2027

Still Unsure? See Us In Action!

Review our real-life examples of custom solutions we have created for hospitals just like you.

Contact Us

30 Burton Hills Blvd., Suite 400,
Nashville, TN 37215

615.921.9510

info@swhealth.com

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