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Sample
Profiles click
link
- Medical Utilization
Review
- For
claims where treatment continues with no end in sight; and/or
when the adjuster questions the ongoing treatment as being
related to the original injury; includes retrospective and
concurrent utilization review.
- Medicare Set Aside
Reports
- Preliminary
Report: A report of findings based on a review of claim file
documents. The report will confirm whether or not the
claim meets criteria for Medicare approval; will identify any
additional required documentation; provides a rated age and
calculation of future medical costs; and provides unsigned
Medical Release forms, necessary for obtaining CMS
approval.
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