|
|
|
|
|
|
 
 |
|
- Utilization Management Programs
Insure that medical treatment for health, auto and workers' compensation
claims is appropriate, necessary, related and properly directed by Certified
U.R. professionals.
- Case Management
Make the most of benefit dollars by managing critical illnesses and accidents
and keeping the treatment plan on track toward maximum medical recovery and a
return to work.
- Independent Medical Exams and Peer Reviews
Obtain definitive and timely medical and dental exams and peer reviews
nationally for auto, liability, workers' compensation, disability and health
claims.
- Medical Bill Auditing
Make sure that bills for medical treatment or hospitalizations are covered by
the policy, medically necessary, accurately billed, properly documented and
finalized by our trained Auditing R.N.s
- Medicare set-Asides
Protect Medicare's interests and avoid judgments, liens and penalties against
claim settlements by utilizing our Medicare Certified professionals.
- Network Management
Gain access to leading PPO Networks and manage network utilization through
directing care when appropriate to the best possible medical resources.
- Medical Fraud Solutions
Add our forensic medical review expertise to your SIU or litigation effort,
bringing better results in settlements, recoveries or network credentialing
activities.
|
|
| |
|
|
|
|
|
