Payors Advantage

Our commitment to trusted relationships with payors

We develop best-in-class compliance practices that allow us to build trust with our payors.

 

Akeso’s leadership has significant experience in claims and provider sectors. We have a unique ability to leverage the powerful alignment between these communities.

 

 

We streamline communication and billing processes to decrease the administrative burden for payors and employers.

 

Akeso invests in communication solutions that streamline employer services specific testing like pre-employment screenings. Akeso also places an emphasis on improving the quality of billing and authorization processes through investment in technology.

 

We are committed to solving common problems that make claims and employer processes more expensive and time consuming.

 


For informational purposes only: a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. https://openpaymentsdata.cms.gov.The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

Benefits of our approach

for clients and payors

REDUCED CLAIM COSTS

Today’s complex claims operations have to run lean and efficient to remain competitive in the healthcare market. Partnering  with Akeso will reduce overall claims expense through accurate billing that reduces bill review costs and guideline compliant authorization requests which reduces UR costs.

 

BETTER CONNECTIVITY

We understand the needs of carriers and self-insured companies when it comes to claims assignment and reserving on claims. Our team welcomes the opportunity to develop new levels of connectivity that ensure the next generation of claims and AI systems receive the timely and accurate data needed to improve claims operations.

 

TRUSTED PROVIDERS

We build trust through professional operations and transparent systems. We know how difficult it is to find a provider partner that can deliver reduced disability and litigation through better patient focus and ease oversight burdens through rigorous commitment to compliance with managed care and financial operations.

 

COMMITMENT
TO GROWTH

Recent changes in the occupational medicine landscape have created significant difficulties for large employers and payors who need trusted groups large enough to have a meaningful solution for your covered locations. Akeso is committed to acquiring existing clinics or quickly starting new clinics where necessary to support our larger partners in more areas

 

Our MPN partners...

 

We particpate in all of the major Medical Provider Networks to ensure

coverage for clients' injured workers. Here are some of our partners: