Medical necessity denials continue to grow at an alarming rate, resulting in loss of revenue, and reduced patient and attorney satisfaction. Due to limited provider time, many of these denials are not addressed.
We develop comprehensive appeal reports for treatment, procedures and medication denials (injections, discograms, nerve blocks, surgeries, procedures, rehab programs, medications, diagnostic tests, aqua / massage therapy, others). Our reports are comprehensive with high approval rates and are based on evidence based guidelines (ODG, ACOEM, other state specific medical guidelines).
We have deep expertise in Pain Management, Orthopaedics and Surgical specialties and have been providing these services with successful outcomes. We have successfully increased practice revenues from approved treatments while freeing up valuable clinician time.