Uncategorized – Electronic Medical Services

Medical and Rehabilitation Providers Benefit from External Auditors

Medical providers can benefit from using an outside claims auditor to review their claims and billing processes. It is something in which we specialized along with one of our affiliate organizations. An outside claims auditor is an independent third-party professional who specializes in reviewing medical claims for accuracy, completeness, and compliance with regulations. Here are […]

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THE MEDICAL NECESSITY OF PROFESSIONAL REHABILITATION

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Far too often a nurse reviewer will decide simply from looking at the duration of a clinical or rehabilitative service that it should be discontinued. What science these decisions are based upon is not always shared when insurance companies or government departments make them. However, there are several important factors which are often ignored. Further,

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In Michigan PIP System Know Utilization Documentation Rules

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One process that can be used when providers feel an insurer has acted unethically or has ignored market realities in pricing services is the Utilization process. This is available via the Michigan Department of Insurance and Financial Services. Its availability does not mean that litigation and negotiation cannot continue to be utilized. It is a

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