The article “A Modern Approach to an Age-Old Problem” by Stephen Junker, published on WorkCompWire, explores the evolving landscape of medical bill review in the context of Workers’ Compensation, Auto, and Group Health payers.
Key Points:
- Medical Bill Review (MBR) is a complex process involving checks and balances to ensure financial protection for both payers and providers.
- The field is shaped by state regulations, which are often flexible and open to interpretation, and by technological advancements like cloud computing, APIs, and AI.
- Junker contrasts modern, integrated solutions with older “bolt-on” systems, arguing that the former offer better efficiency and user experience.