REBUTTALS:
Once an insurance company’s physician performs a peer review or IME, the question of medical necessity does not immediately end. A patient’s treating physician can challenge the peer review or IME by writing a rebuttal. Rebuttals raise an issue of fact as to whether services rendered were medically necessary, and thus increase the treating physician’s likelihood of success in litigating the denied claims. Our team prepares the Rebuttals based on the available medical records and makes sure to comprehensively understand the bases of denials by analyzing IME's, Peer Reviews, and other relevant documents. We make sure to draft the Rebuttal that is supplemented with research to justify the points put forth.
Coder affidavits:
Our team prepares to the point coder affidavits based on the Fee Schedule. Our team makes sure to do a thorough research and try to get relevant case laws while preparing the coder affidavits.
Briefs with packages:
As the name suggests, this is a case summary that would save a lot of your time because you can go through the case in one single word file along with the necessary documents that are bookmarked chronologically.
Data Entry:
Precise and to the point data entry, crucial for legal documentation and record-keeping. This is based on the initial client intake and documents provided.
File association:
We understand the criticality of each incoming document and therefore we go through each document carefully which is then uploaded in your case manager in the relevant case under the appropriate node.
Arbitration filing:
Each document is reviewed carefully by our expert team before deciding if we can file the case or not.
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