Chronological Medical Record Analysis: a chronological analysis of medical records presented in summary fashion to provide a comprehensive, easily understood report that outlines claims of injuries and/or treatment that are related or unrelated to an accident/incident with recommendations. This service is always completed by a registered nurse with specialized training in medical/legal consulting. This service is useful in the evaluation of any type of personal injury claim requested by claims professionals and attorneys (plaintiff or defense).
Demand Package Evaluation: A detailed report completed by a specially trained registered nurse that provides clarification of opposing counsel's medical interpretation of the case and their assessment of permanency, wage loss and projected medical expenses in comparison to the objective medical findings to support claims management decisions and settlement negotiations.
Expert Physician Review: A detailed report completed by a board-certified medical physician in the necessary field of specialization that provides opinions about causation, past medical treatment, wage loss, permanent impairment and future medical care within a reasonable degree of certainty that can be used for settlement negotiations or for litigation as an expert witness.
Expert Chiropractic Review: A detailed report completed by a board-certified chiropractic physician that provides opinions about soft tissue injury causation, whether past or future chiropractic care is supported as medically necessary and whether the chiropractic medical record documentation supports the services billed.
Provider Bill Analysis: An evaluation of submitted medical bills for appropriate use of diagnostic codes, accident relatedness/causation, unbundling of services, excessive charges for the documented service and duplication of charges.
Formal Provider Bill Review for Usual and Customary: A review of submitted medical bills by a certified Utilization Review company to identify usual and customary charges in the demographic area that are related to an accident or incident.
Expert Physician Recruitment: The identification of board-certified specialized medical experts in requested venues who are willing to review a personal injury claim/lawsuit and provide expert testimony.
Liability Medicare Set Asides (LMSA): A projection of ongoing future medical care expenses related to a personal injury/event for purposes of protecting insurance companies, attorneys and claimants regarding Medicare’s interests during settlement of a liability claim when there is future medical care.
Future Cost Projections or Life Care Plans: A financial projection prepared by a Certified Life Care Planner of objectively reasonable future medical care and rehabilitation services a claimant will or may need in the future as a result of a personal injury matter.
Comparative Life Care Plan Analysis (CLCPA): Review of opposing Life Care Plans regarding the appropriateness of future care recommendations including medical necessity, the appropriate use of methodology and cost resources and the accuracy of calculated figures for the purpose of Daubert motions or rebuttal testimony.
Medicare Conditional Payment Lien Analysis & Negotiation: Assistance in obtaining Medicare's conditional payment information, evaluation of the Medicare lien for unrelated past medical charges and negotiating removal of the unrelated charges.