Expert Bill Review Specialist
Professional Legal Nurse Consultant
My goal is to arm you with medical knowledge - Thus ensuring you get the best possible claim outcome!
Available Services
Medical Liability Review Services
Enhanced Medical Bill Payment Review
Enhanced Medical Bill Payment Review
Detailed review of medical records
- Prepare a medical chronology
- Identify missing records
- List all reported medical conditions
- Evaluate relatedness of reported medical conditions to alleged injury
- Determine pre-existing medical conditions
- Analyze impact of pre-existing medical conditions on reported injury/injuries
- Identify potential contributin
Detailed review of medical records
- Prepare a medical chronology
- Identify missing records
- List all reported medical conditions
- Evaluate relatedness of reported medical conditions to alleged injury
- Determine pre-existing medical conditions
- Analyze impact of pre-existing medical conditions on reported injury/injuries
- Identify potential contributing factors to the reported injury
Medical Critical Thinking and Problem-Solving
- Analyze injury reports, depositions and IME reports
- Determine if a detailed injury description was obtained
- Outline injury description contradictions in the medical records
- Assess cause and effect
- Evaluate reported causation
- List possible medical defenses
- Analyze and identify contradictions within the various reports
- Identify gaps in medical analysis and documentation
- Determine if a pharmacy sweep is needed
- Assist with determination of appropriate IME specialties
- Interface with the IME specialist
- Skilled at explaining the medical treatment including pictures, if necessary
- Perform internet searches to assist in the medical case analysis
- Determine if a detailed injury description was obtained
Get the Most Out of Your Expert Reviewers
- Submit appropriate and concise medical records to the expert reviewer
- Remove duplicates
- Remove non-essential information
- Assist with the extraction of valuable medical information from medical experts
- Identify subtle nuances in the medical testimony
- Help to get the complete detailed medical information needed
- Able to articulate the medical status succinctly and in layman’s terms
- Can assimilate new information and compile it quickly for trial presentation
Enhanced Medical Bill Payment Review
Enhanced Medical Bill Payment Review
Enhanced Medical Bill Payment Review
- Proper coding of all types of medical bills – Professional and Institutional
- CPT codes with appropriate modifiers, HCPCS codes as well as ICD10 Codes
- Proper application of DRG, OPPS and APC codes
- Review medical records to determine correct and appropriate bill coding
- Expert in applying Workers’ Compensation Fee Schedules to Medical bills
Additional Services
Enhanced Medical Bill Payment Review
Additional Services
- Recommend potential treatment options and/or treatment providers
- Assist in obtaining appropriate VA records – including disability records
- Expert in the MN Workers’ Compensation Treatment Parameters
- Expert reviewer for a variety of medical claims:
- Railroad
- Auto
- Workers’ Compensation
- Catastrophic
- Personal Injury
- Liability
- Medical insight into the claim
- Assist with the development of medical trial strategy