Why Transparency Matters in a Cost Management or Bill Review Company

We get it – bill review companies get a bad rap. This post comes in response to Joseph Paduda’s latest blog write up on Uncomfortable Truths at this year’s NWCDC, a piece that highlights the missing transparency between TPAs and employers, which further decreases the quality of managed care. It’s a very well written post and it details that companies only care about two numbers: how much each processed claim costs and how much money they are ultimately saving. When it comes to cost management, they want the first number to be low and the second number to be high. Paduda says issues arise when there is non-transparency between a TPA and their clients about what bill review vendors actually…


Jackelyn Ho