Service Lines
   

Medical Case Management

Full Case Management, Catastrophic Case Management, Coordination of Treatment Program, Medical Monitoring, Specialty Facility Referral, Task Assignments, IME/Peer Review Coordination, Return to Work Coordination

Vocational Case Management

Vocational Evaluations, Vocational Testing, Labor Market Surveys, Employment Counseling, Job Placement, Training Coordination, Job Analysis, Job Modification, Expert Testimony

Telephonic Case Management

Early Intervention, Medical Status Updates, Return to Work Coordination, Provider Negotiations

Life Care Planning

Life Care Plans, Medical Cost Projections, Expert Testimony

Pre-Certification

Hospital Admissions, Outpatient Procedures & Diagnostics, Concurrent Review, Discharge Planning, Second Opinion Recommendations, Home Health Services, Durable Medical Equipment, Psychiatric Reviews, Pre-existing Determination

Hospital Bill Audits

File Review & Desk Audits,

Provider Bill Review

Claims Editing by Professionals, Regulations & Guidelines Per All 50 States, Coding Accuracy, Customized Reporting Capabilities, Fast turn-around Time, PPO Reductions (National and In-State), Fee Schedule/Usual & Customary Repricing),

Group Health Telephonic Case Management

Large Case Management, Disease Management, Negotiated Discounts, and Discharge Planning