Managed Care Services

Reducing lien and medical expense exposure to reduce final settlements

• Independent Medical Exam (IME)
  Coordination of scheduling from a panel of qualified experts in required fields, including the follow up through obtaining final report and retention of interpreters as needed.
• Medical-Legal Nurse Review (MNR)
  Evaluation of medical care rendered against industry standards by experienced qualified nurses, to include review of all medical records to provide a chronological reporting history (pre- and post-accident) with analysis and summary of records, as well as identification of missing records and recommendations for further action.
• Diagnostic Imaging / Film Review (FLM)
  Coordination and scheduling of expert independent review by certified radiologists and neuro-radiologists, including securing of films from providers as needed.
• Billology℠ Liability Medical Bill Review (MBR)
  Detailed breakdown review of each billed item, per provider, compared against industry standards of service charges within both state and federal guidelines.
• Medicare Set-Aside Services
  Calculated future costs report.
• Medical Cost Projection / Life Care Planning
  Projected lifetime medical needs and associated expenses
• Home Care Coordination
  Assess home care needs, establish time line, and coordinate requirements to eliminate unnecessary extended care
• Nurse Case Managers
  Proactive intervention and management to expedite care and control costs, including Bereavement Support and Rehabilitation Guidance
• Lien Negotiation
  Coordination of reduced medical liens through negotiation