Inmate Medical Claims
Determine If Medical
Treatment Was Actually Delivered and Coded Correctly
Our Claims Analysts visually screen
your bills for overcharges or any amount that looks out
of the ordinary.
The inmate’s medical bills are then
scanned into a high-tech computer program which compares
CPT (procedural) vs. ICD-9 (diagnosis) codes to make
sure codes correspond.
We will contest any inaccurate
charges prior to payment from county.
Coding error example 1: Physician orders a CT-Scan for
the following day. The order has been rescinded but the
billing office has already entered the charge. The
charge is never credited.
Coding error example 2: Physician
orders a series of X-Rays for both arms and coding was
for a broken neck.
What good is a discount on a charge
that is inaccurate?
Provide Hospital and Physician Discounts
Allow county to utilize our National PPO network
Our PPO network is the nation's oldest and largest supplier of
independent, network-based cost management
solutions with more than
500,000 providers under contract.
Provide per diem discounts where available.
Negotiate quick pay discounts from providers.
Work independently with providers to negotiate discounts.
Help Coordinate Payment from
Private Medical Insurance Company
If a pre-trial felon or misdemeanant carries medical
insurance through a private provider, that medical
insurance company could be liable to pay for medical
expenses while inmate is incarcerated.
At intake, jail staff should check belongings such as:
Medical ID cards
Prescription drug bottles
Paycheck indicating deduction for medical insurance
Inmate could be COBRA eligible.
If a jail or CRS determines an inmate does carry their
own private medical insurance, CRS will work with the
insurance carrier to pay all eligible charges.
Prepare Checks To Be Sent To Providers
CRS will invoice county jail for total amount plus any
County jail pays CRS total invoice amount.
CRS will write and send all checks to all medical
Produce Detailed Claims Reports – Paper and Electronic
Frequently Asked Questions
How much does the
Inmate Medical Claims Saver service
There are no start-up, monthly or annual fees.
Instead, CRS keeps only a percentage of savings, meaning
if money isn’t saved, no fee is earned!
Will our county jail be locked into a long-term contract
No. The advantage of doing business with CRS is that we
only ask for 30 day’s notice of termination.
Yes. In fact, many of our county jail customers ONLY
have our Inmate Medical Claims Saver service.