Medlogix integrates regulatory compliance into its technology platform and services by incorporating the latest regulatory guidelines and best practices to ensure client demands are met.
Our Compliance team monitors federal and state regulations impacting our clients. With our 50-state knowledge base, we have national capability with insight into every state’s regulatory requirements. We ensure compliance through proactive notification and internal processes.
Our Medical Bill Review services also apply state regulatory requirements and fee schedules to ensure bills are appropriate and causally related to the claim, with documentation reviewed to meet these standards.
We proactively notify our customers as soon as we become aware of a potential change that could affect them.
- Maintain an internal database that tracks changes from proposal to implementation.
- Inform our clients along the way, to let them know if and when they are enacted. That enables clients to plan ahead for system or filing changes they may need to make to stay compliant.
- Work with internal departments that are impacted to help them understand changes and how best to implement them.
“Our compliance team monitors and assesses any regulatory changes that could impact both the organization as well as our clients on a daily basis. We make it easier for clients to stay current and in compliance. If our clients have their own compliance or legal teams, we can work together with them to share knowledge and resources. “
Jonna Jeffers, Vice President of Regulatory and Compliance
“Literally blown away by Medlogix! Domination of the complex New Jersey market and resultant volume is proof point of their scalability nationally."
Vendor Management Specialist
How Medlogix Addresses Regulatory Needs
- Integrated Platform software platform seamlessly integrates with the latest regulatory guidelines and business-partner interfaces, helping clients maintain compliance.
- Dedicated Compliance Team responsible for monitoring, analyzing, and implementing new federal and state regulations that affect clients.
- Medical Bill Review Team uses registered nurses and other healthcare professionals to audit bills, ensuring that services are appropriately documented, causally related to the claim, and align with state regulatory requirements and fee schedules.
- On-site and Desktop Audits for regulatory compliance can be conducted either on a desktop level or on-site at a provider facility.
We have grown nationally via our experience managing some of the most complex states for auto liability and workers' compensation claims including Michigan and New Jersey.
We have built our reputation in the nation’s most complex, highly regulated auto and workers’ compensation insurance markets through innovative, user-friendly technology and customizing services to match the way you do business.
Our extensive nationwide network of physicians provides our clients with thousands of state-specialty combinations to match their cases. We track every state’s varied jurisdictional and legal requirements. We provide clients updates about regulatory and other changes nationwide that may have impact their business.
Our commitment to excellence is evident in our partnerships with major carriers
We develop custom workflows and DPR plans tailored to their specific needs. Medlogix was the first in New Jersey to have our plan approved by NJDOBI in 2004, reflecting our pioneering approach and dedication to compliance.
Our senior executives actively advise the NJ PIP TAC Committee. Medlogix has provided training and guidance to insurance carriers, regulators, arbitrators, and providers on compliance and best practices.
Our deep regulatory expertise positions us as an essential resource for insurance carriers to keep our clients ahead of regulatory changes.