CompComplete, LLC
Managed Care Services
CompComplete, LLC is a wholly owned subsidiary of Georgia Administrative Services, Inc. providing bill review and nurse case management services. The collaboration of service-driven managed care and aggressive claims administration creates a synergy of unbeatable results.
CompComplete’s state of the art bill review system, supported by CompIQ Corp., automatically adjudicates medical bills against state fee schedules and/or usual and customary values. Our team of bill review experts and superior technology produce turn-around times and savings results that exceed national standards. To help you realize further savings, CompComplete offers only the best in PPO Networks and will work to ensure channeling of injured workers to contracted physicians.
CompComplete’s nurse case manager works together with medical providers, employers, employees and the claims adjuster to facilitate appropriate medical care, identify obstacles to recovery, and ultimately focus on returning an individual to work. Nurse case management services focal point is on achieving maximum medical improvement and minimizing permanent disability. If the prognosis or treatment plan is not appropriate, we get care back on tract by collecting pertinent information from the physician, and if necessary, challenging treatment plans. Our nurses are knowledgeable in Georgia Workers’ Compensation laws and are able to help proactively manage claimant medical care and return to work within statutory constraints.
CompComplete is committed to setting itself apart from our competitors. With CompComplete there are no hidden fees or unrealistic promises. We will save you money and give you the level of customer service that you deserve!
About Us
CompComplete, LLC provides medical bill review and nurse case management services. The collaboration of service-driven medical cost containment and aggressive claims administration creates a synergy of unbeatable results.
CompComplete’s state of the art bill review system, supported by CompIQ Corp., automatically adjudicates medical bills against state fee schedules and/or usual and customary values. Our team of bill review experts and superior technology produce turn-around times and savings that exceed national standards. To help you realize additional savings, CompComplete offers only the best in PPO networks and will work to ensure channeling of injured workers to contracted physicians.
CompComplete’s nurse case manager works together with medical providers, employers, employees and the claims adjuster to facilitate appropriate medical care, identify obstacles to recovery, and ultimately focus on returning an individual to work. Our nurse case management services focal point is on achieving maximum medical improvement and minimizing permanent disability. If the prognosis or treatment plan is not appropriate, we get care back on track by collecting pertinent information from the physician, and if necessary, clarifying treatment plans. Our nurses are knowledgeable in workers’ compensation laws and are able to help proactively manage medical care and return to work within statutory constraints.
CompComplete is committed to setting itself apart from our competitors. With CompComplete there are no hidden fees or unrealistic promises. We will provide cost savings and give you the level of customer service that you deserve!
Medical Bill Review
CompComplete is high tech and large enough to provide national medical bill review with ease but small enough to provide the highest level of personalized service to each and every one of our customers every day. CompComplete offers competitive pricing, integrity and dedicated service to our customers. We believe our experience and the satisfaction of our customers has prepared CompComplete to best assist our customers in implementing a program that will exceed your expectations for service and cost containment.
Medical Bill Review:
- Fee Schedule Review
- Reasonable and Customary Review
- Nationwide PPO Networks
- Quality Control Checks
- Rapid Turnaround
- Secure Website
- User Defined Reporting
- Clinical Review
- Out of Network Bill Review
- State Reporting
- Electronic Data Interface
- Direct communication with providers on any appeal
We work closely with each client to effectively optimize PPO network options and savings.
Our PPO networks are designed specifically for workers compensation and consist of board certified specialists with a return to work focus. Our rapid turnaround times meet and many times exceed national standards. Quick turnaround expedites provider payments which increases provider satisfaction. Our state of the art reporting allows detailed user defined reporting.
Medical Case Management
Our RN Case Management staff are registered nurses experienced in the field of workers compensation; certified by The Commission for Case Manager and Certified Disability Specialists Commission. Also certified with the State of Georgia by the Workers Compensation Board / Catastrophic designation.
RN Case Management Services
The assessment and treatment process for an injured worker can be provided by our qualified RN Case management team. RN Case Managers are intermediaries that provide immediate and quality medical review of treatment of the injured worker to assure care is appropriate, timely and provided by validated Network providers/ approved Panel Physicians.
Nurses provide many different services that are tailored to meet your needs. Close communication with the employer, injured worker and medical treatment team assures that obstacles to recovery are identified and resolved with a focus on return to work.
Cost containment is provided by minimizing cost through the negotiation of cost effective services in a timely manner. Case management services may be provided telephonically or on-site dependent on the needs in each case.
Telephonic Nurse Case Managers Provide:
- PPO Channelling
- Coordination of specialty referrals
- Make the necessary referral to an on-site nurse case manager when appropriate
- Physician panel development
The Nurse Case Manager is a valuable part of your team
RN Case Managers offer objective advice and assistance to ensure the best medical care and services are provided in a timely cost effective way. They communicate with all parties involved with a claim to develop a partnership where the goal is the injured worker’s successful recovery with eventual return to productivity. Contact us today to learn more about these and other cost containment services we offer.