California Bill Review for Hospitals and Out-Of-Network Facilities

Unleashed Hospital Negotiations is an innovative bill review negotiation service that provides up-front, personal negotiation for out-of-network hospital and facility bills, shifting the focus from bill review processing to hands-on expert negotiation.

Unleashed Hospital Negotiations helps you:

Save Time
Traditional bill review often leads to balance-forward charges in the form of a lien. For adjusters, liens can be high-maintenance, creating excessive phone calls and paperwork! It is common for liens to go undetected until the case in chief has been settled, adding months, even years, to the life of a file. You may even be getting charged for ongoing hourly fees by a defense attorney or a company with little motivation to resolve the lien and get the file closed. With Unleashed Hospital Negotiations, liens are settled fast and examiners gain valuable time to focus on claims investigation and complex medical and legal issues.

Save Money
With other companies, liens are often settled by a non-expert for an amount higher than the managed care provider’s recommended payment. Plus, did you notice there is no rebate on the fee charged by the managed care company for the original review? Where are the savings?

With our extensive claims experience and lien negotiation expertise, RPM negotiates significant discounts on your out-of-network hospital bills and other liens. By settling bills quickly, litigation expenses are reduced or eliminated, resulting in substantial savings. When you combine these results with RPM’s capped, performance-based rate structure, the savings really add up!

Get Closure
We obtain a signed agreement from the provider to guarantee a final resolution of the charges, eliminating further exposure. This final step gives you documentation that the bill is resolved, with no possibility of viable future liens. When needed, RPM defends its reviews, representing your interests by serving as expert witnesses at the WCAB.

We are also experts in “catastrophic capitation.” If you have a crisis, we handle RUSH assignments on large hospital bills and personally negotiate with hospital personnel to reduce excessive/unnecessary charges immediately. For more information see our work comp bill review page.