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  • 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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