Services

•     PATIENT FINANCIAL ASSISTANCE PROGRAM

Our Patient Financial Assistance Program is the oldest of COMPSPEC’s specific services and is the foundation of our operation.  This program has been designed to secure patient eligibility for various third party payment sources.  The process may begin with (1) screening self-pay accounts, (2) taking up where an eligibility application is pending determination, and (3) cases where eligibility has been denied.   This program encompasses identification and pursuit of all potential payment sources including Medi-Cal, Medicare, Victims of Crime, Workers’ Compensation, California Children’s Services (CCS), Social Security Supplemental Income (SSI), HMO’s / PPO’s and other contracted payers, indemnity insurers, third party liability, and other third party coverage(s).    (More...)

•     THIRD PARTY LIABILITY PROGRAM

COMPSPEC’s Third Party Liability Program addresses self-pay and accounts reflected on the client’s systems as having been paid (zero balance), however where there has been some write-off factor, (i.e. typically policy limits, audit write-downs, or contractual allowances ). By careful screening  of such accounts,  as well as any  subpoenas received  by  the  client, COMPSPEC’s  Eligibility  Specialists  determine  potential third party liability which often results in liquidation of full charges from third parties who may be ultimately held responsible as a result of legal actions.  Once payment has been obtained, COMPSPEC assists the client in making restitution, as indicated, to the original payer.   (More...)

•     UTILIZATION REVIEW PROGRAM

Additionally, COMPSPEC provides assistance in obtaining Treatment Authorization Requests (TAR’s) and in handling TAR appeals.  COMPSPEC brings the expertise of Registered Nurses/Specialists to assist in the handling of complex utilization review matters.  These specialists have had extensive experience in working with Medi-Cal Field Offices throughout the state and enjoy excellent and cooperative working relationships.

•    "EARLY OUT" PROGRAM

 
COMPSPEC’s “Early Out” Program is designed to assist our clients in liquidating receivables prior to assignment to collection agencies or write - offs to charity.  COMPSPEC interfaces with the client’s MIS, (either by download or direct connection), and produces a series of pre-collection letters and/or phone calls to patients in the name of and on behalf of the client.  The low contingency fee rates make this a highly successful pre-collection service for our clients.

•    CONSULTING SERVICES

COMPSPEC believes in sharing its expertise and experience with its clients to assist in the resolution of problem situations related to reimbursement and to increasing the productivity and results of each client’s financial operations.  Following are several areas in which COMPSPEC has provided consultative assistance: