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Fighting Healthcare Fraud

Stamping out fraud and abuse in the healthcare system requires everyone's involvement. As a longtime industry leader in fighting fraud, Zenith continues to take an aggressive stand against questionable bills and treatment patterns. You can chip in by directing your injured employees to get the right medical treatment, helping them return to work and tracking the claim process.

We're here to help you every step of the way. Call us at 1-800-440-5020.

WHAT YOU CAN DO TO FIGHT HEALTHCARE COSTS

  1. Report injuries promptly to Zenith. (Report Online or call us at 1-800-440-5020).

  2. With Zenith's assistance, create a panel  of medical providers for your employees to contact.

  3. Encourage injured employees to see physicians you have pre-selected from Zenith's specialized care providers.

  4. Stay in touch with injured employees to show you care.

  5. Develop a Return-to-Work program.

WHAT ZENITH DOES TO FIGHT HEALTHCARE COST

  1. Refer injured employees to qualified doctors who will put the injured worker's care first.

  2. Monitor employees' medical care to ensure they receive the care they need, when they need it, without getting lost in the system.

  3. Use nurses, doctors and other experts to ensure employees receive appropriate care and educational support as needed.

  4. Medical experts review bills for unnecessary and or inflated costs of medical treatment.

  5. Uncover healthcare fraud by investigating questionable billing and treatment patterns, and proposing reforms to lower workers' compensation costs.

  6. Analyze data to find the right amount to pay for the right procedure every time.



 
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