Augustus HCS has observed that providers treating job-related and auto injuries often bill payers beyond the limits set by state Workers' Compensation Boards (WCB) or standard fee schedules, anticipating delayed payments. This practice leads to redundant claims and unnecessary medical expenses.
Our role on behalf of Third-Party Administrators (TPAs) ensures providers receive prompt payments and achieve repricing through professional negotiations. We establish repricing agreements that encourage adherence to state fee schedules, facilitating earlier payments. For providers within our network, we facilitate further discounts through negotiated agreements.
To minimize redundant claims and streamline processes, we utilize advanced auto-adjudication software, enhancing profitability for healthcare providers.
For Workers' Compensation and Auto Injury cases, we operate on a contingency basis, basing our fees on the savings achieved by payers following our repricing and negotiation efforts.
Augustus HCS is committed to optimizing financial outcomes for providers while ensuring efficient payment processes and adherence to regulatory guidelines.