Payer Compass Announces Reference Pricing Services Supported by The Phia Group, LLC

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Payer Compass and The Phia Group, LLC agree to provide reference-pricing services to self-insured employers and third-party administrators.

Payer Compass - The Reimbursement Experts

The Phia Group is the industry leader in protecting plans’ assets with directness, integrity, and fairness.

Payer Compass, LLC of Plano, TX and The Phia Group, LLC of Braintree, MA have entered into an agreement to provide complementary services to self-insured employers and third-party administrators engaged in Medicare and other reference-pricing programs.

Payer Compass provides reimbursement technology services to self-insured employers, third-party administrators, Medicare-Advantage plans, commercial payers, and others. Its services include contract management, claims management, commercial repricing, and Medicare-Reference-Based Pricing for the full range of healthcare services including inpatient, outpatient, physician, and ancillary services.

The Phia Group is an experienced provider of healthcare cost-containment techniques offering comprehensive claims recovery, plan document, and consulting services designed to control healthcare costs and protect plan assets. The Phia Group’s overall mission is to reduce the cost plans incur through its recovery strategies, innovative technologies, legal expertise, and focused, flexible customer service.

Payer Compass and The Phia Group share a passion for reducing the cost of healthcare and transforming our healthcare system into one that provides the highest quality service at a price that makes sense. By using The Phia Group, Payer Compass can provide clients with the essential elements they need to create sound cost-containment strategies while making operations easy and effective.

“We are excited about our relationship with Phia,” said Greg Everett, President and CEO of Payer Compass. “The Phia Group is the industry leader in protecting plans’ assets with directness, integrity, and fairness. By working with Phia, Payer Compass will be able to deliver a comprehensive program packaging technology, patient advocacy, and plan protection to ensure that TPAs and employers can maximize their plan savings with an ROI of 25 to 1 using Medicare Reference Pricing while addressing a member’s liability, creating incentives for cost-conscious decision-making, and dissuading balance-billing behavior by providers.”

“The Phia Group values every opportunity to contain costs incurred by health plans, and shares Payer Compass’s focus on proactive planning; improving Plan Documents and correspondence, as well as educating members and providers, all in an effort to avoid issues before they come up.” The Phia Group’s CEO, Adam Russo went on to share, “Payer Compass seeks to ensure that claims will be repriced in accordance with the terms of the plan, as well as be defensible in the face of appeal. This allows us to address balance billing and provide advocacy as needed.”

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