Another chiropractic group has licensing issues and fails to collect any money on a $35,051 lien.  43 bills for Acupuncture, 13 bills for Shockwave Therapy with 13 suspect PR-2’s.   Argus West SPEAR Program defended its client at the WCAB.  After several failures to appear by the lien claimant, the lien was dismissed.  The lien claimant had been put on notice by Argus West regarding their licensing deficiencies, violations of Chiropractic Rules and Regulations and other billing discrepancies.

Does reducing your combined loss ratio interest you?  How effective is your contract SIU at combating the largest cost driver in your overall claim’s costs?   Are they integrated with your bill review platform to stop money going out to begin with?  How about defending abusive and fraudulent providers through 99% savings on liens?

Argus West’s SPEAR Program is a front-end and back-end provider fraud and abuse solution. Our proprietary software is a one-of-a-kind and industry first SIU perspective layer integrated into any existing bill review platform. SPEAR provides SIU based reason codes and bill objection language for flagged providers. No more money going out the front door! The back-end SPEAR Program is our lien unit. In the SPEAR Lien Unit are highly qualified, former claims adjusters and lien hearing representatives holding flagged providers accountable. With over a 99% savings track record to attest to, SPEAR gives you an additional 35%+ savings over traditional internal claims team lien handling, third party lien companies and/or defense attorney negotiated liens.  In addition, our clients are saving 4 times the cost when compared to hiring a third-party lien company or defense attorney to negotiate your liens. Want to take the burden off your adjuster, save big $$$ in your medical expense bucket and lower lien negotiating costs, SPEAR is your program with proven success. For more information contact by email:  spear@arguswest.com