Rising Medical Solutions

Company Overview

Rising Medical Solutions is a leading national managed care firm that has been providing top-notch medical cost containment and medical care management services since 1999. Our client base includes insurance carriers, TPAs, self-insured employers, and government entities of all sizes. With our innovative solutions and dedicated team, we have positively impacted the lives of hundreds of thousands of employees and saved billions in total claim costs for our clients.

At the core of our services is our flagship bill review service, which consistently delivers over 60% in national bill review savings. This is made possible through our advanced technologies and expert team, who utilize fee schedule/UCR rates, network discounts, nurse audits, provider negotiations, and embedded fraud detection capabilities. However, we don't stop at just repricing medical bills; our integrated programs provide comprehensive clinical and cost-saving expertise throughout the entire treatment process.

One of our biggest assets is our proprietary VISION™ platform, which is the only multi-product, multi-line, single-sign-on, medical management enterprise system in the industry. This platform allows claims professionals to have unprecedented ancillary referral and medical management capabilities, ensuring a seamless and efficient process from beginning to end. With our passionate and mission-driven employees, we strive to provide an unparalleled user experience for everyone involved in the medical care process.

We are also proud to direct and publish the annual Workers’ Compensation Benchmarking Study, a comprehensive research program that examines the complex forces impacting claims management in workers’ compensation. Since its inception in 2013, this study has become one of the most cited research publications in the industry and has been the subject of numerous articles, webinars, and conference presentations.