The Bottom Line: Savings and Quality

HealthHelp saves its clients millions of dollars each year by giving physicians the medical evidence they need to order the right tests or treatments at the right times, and the documentation they need to support sound radiology decisions. This reduces the practice of defensive medicine, which America’s Health Insurance Plans estimates wastes
8 percent of every dollar spent on health care.

As a result of its productive relationships with the Centers for Medicare and Medicaid Services, HealthHelp developed its nine programs with a thorough understanding of regulatory issues in addition to health plan needs and the real-world practice of radiology.

HealthHelp’s nine programs

• eliminate unnecessary and improper testing and treatment,
• provide physicians with the latest medical evidence,
• audit claims for proper coding and payment,
• set quality standards for imaging and radiology facilities,
• ensure procedures are performed by qualified physicians using high-quality equipment,
• help payers establish quality provider networks, and
• educate patients about the benefits and risks of imaging procedures.