We provide evidence-based medical reviews
We provide objective and timely determinations by independent, specialty-matched physicians to help you ensure proper utilization and control claims costs, while providing patients with quality medical care to which they’re entitled.
Our reviews are consistent with the latest evidence-based medical literature (including ACOEM and ODG Guidelines), best practices, clinical policies and national medical association guidelines.
We adhere to the highest quality and ethical standards, and every step in our review process is evaluated to ensure we meet or exceed clients’ needs, including regulatory, legislative and accreditation standards.
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Our Specialties
There is no substitute for the expertise that practicing medical peer reviews specialists can offer. We have a multidisciplinary medical network encompassing a comprehensive list of reviewers providing quality utilization review services. Our board certified physicians are considered leading experts in their fields, are actively practicing, and have an acute understanding of their respective specialties.
Our independent medical peer reviewers can aid in answering questions including but not limited to:
- Medical Necessity
- Experimental/Investigational
- Standard of Care
- Pre Authorizations
- Hospital Admissions
- Length Of Stay
- Level of Care
- Billing and Coding
- Disability
- Workman’s Compensation
Visit our Specialties page to see a complete list of specialties available for review.
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