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Monthly Archives: June 2016

Workers’ Compensation Fraud a Major Crime in America

Workers’ Compensation Fraud a Major Crime in America

Medical record review for attorneys is a valuable service workers’ compensation lawyers use to make the important medical record evaluation process easier and quicker. Usually provided by a good medical claims review company, this service helps identify genuinely injured workers and thereby prevent insurance fraud. Today, workers’ comp fraud is a major crime in the … Continue reading Workers’ Compensation Fraud a Major Crime in America

What Is a Medical Peer Review?

What Is a Medical Peer Review?

A medical peer review involves the review and analysis of an insurance claimant’s medical records written by his/her treating physician by another physician employed by the insurance company. This is primarily conducted to determine whether the services rendered by the treating physician to the patient were medically necessary. Claim denials occur when the peer review … Continue reading What Is a Medical Peer Review?

Medical Record Retrieval for Attorneys – In-house or Outsourced, Which is Better

Medical Record Retrieval for Attorneys – In-house or Outsourced, Which is Better

You know that medical record review for attorneys is a necessary service to gather all records pertaining to a health related case. However, the first step medical record retrieval is also a very crucial one that is to be taken care of fastidiously. Even though this is something that can be done in-house or outsourced … Continue reading Medical Record Retrieval for Attorneys – In-house or Outsourced, Which is Better

Are Patients Allowed to See Everything That Is on Their Medical Chart?

Are Patients Allowed to See Everything That Is on Their Medical Chart?

Attorneys handling claims associated with health insurance, personal injury, and medical malpractice will have to place a request for the patient’s healthcare records for a medical records review. The request is to be made either by the patient or his/her representative attorney. Health insurers also require patient healthcare data for medical claims review to ensure … Continue reading Are Patients Allowed to See Everything That Is on Their Medical Chart?

Medical Claims Review to Ensure Accuracy and Appropriateness of Provider Billings

Medical Claims Review to Ensure Accuracy and Appropriateness of Provider Billings

Medical claims review is an important process health insurers perform to ensure that the provider billings are accurate, appropriate and reasonable for the services provided to patients. It is the key to controlling costs, preventing healthcare providers from obtaining reimbursement for services that may not have been provided at all. Claim review services provided by … Continue reading Medical Claims Review to Ensure Accuracy and Appropriateness of Provider Billings

How to Ensure Protection against Ransomware That Is Becoming Rampant

How to Ensure Protection against Ransomware That Is Becoming Rampant

Recent news stories highlight how some hospitals in the United States have fallen victims to “ransomware” attacks. This malware locks up computers until the ransom amount, usually in the form of bitcoins is paid to the hacker. When a healthcare entity is hit, the medical records of patients are jeopardized. Patient medical records are important … Continue reading How to Ensure Protection against Ransomware That Is Becoming Rampant

Ensure a Winning Advantage with Medical Record Review Service

Ensure a Winning Advantage with Medical Record Review Service

Medical legal cases are complex, based on intricate facts and making your way through these to a successful litigation outcome is quite challenging. Medical record review being an important process with regard to medical lawsuits, you need a professional approach when analyzing the records. There is no better way to ensure this than by partnering … Continue reading Ensure a Winning Advantage with Medical Record Review Service

Can Metadata Be Used as Evidence in Medical Litigation?

Can Metadata Be Used as Evidence in Medical Litigation?

The healthcare industry is witnessing rapid changes, all introduced with the objective of improving the quality of care and ensuring positive outcomes for patients. The electronic medical record is one such innovative change, which saw mixed response on the part of physicians and healthcare providers. The system has a number of plus points, though there … Continue reading Can Metadata Be Used as Evidence in Medical Litigation?

Does Social Security Consider Genetic Testing When Evaluating a Disability Claim?

Does Social Security Consider Genetic Testing When Evaluating a Disability Claim?

When evaluating a disability claim, the SSA performs a medical record review considering all the medical evidence they receive including genetic test results. A genetic test can be used to confirm a hereditary disease. Typically, medical professionals order this test to diagnose a particular disorder/disease and help predict the extent of disease features or the … Continue reading Does Social Security Consider Genetic Testing When Evaluating a Disability Claim?