Medical peer review serves as a valuable tool in various legal cases where a thorough evaluation of medical information is crucial. Peer review offers substantial benefits for insurance attorneys by providing a comprehensive and objective assessment of health...
Medical peer reviews are crucial for clean health insurance coverage. In case of a doubt or ambiguity regarding a medical insurance claim, a medical peer review may be conducted by a physician...
Insurance denials are not something new and specific reasons for denials will be outlined in the EOB or the Explanation of Benefits document the insurer sends to the claimant. It helps prevent...
Peer reviews are of different types in healthcare. In a healthcare organization, peer review is used to study physician performance and ensure that providers’ skills are maintained at the highest...
Medical peer reviews are very important from the point of view of health insurance coverage. Though health plans receive a great deal of ire from providers and patients alike for claim denials based...
Updates to ERISA (Employee Retirement Income Security Act) that came into effect on April 1, 2018, are relevant to disability claimants, disability insurance carriers, insurance lawyers, and...
A medical peer review is initiated by a health insurer to determine whether the medical treatment provided for a covered person is compensable or not. An insurance denial may occur due to certain...
A medical peer review involves the review of a patient's medical records by a physician, who provides an opinion based on the facts provided in those records. The peer review is presented in the...
Insurers ask for a medical peer review when they are not sure whether a claim should be accepted and whether the treatment provided was medically necessary. This review process helps in avoiding...
Insurance fraud is a grave problem in America, costing insurance companies and their customers more than $40 billion a year, according to the FBI. This is excluding medical insurance fraud, which is...
Errors in medical records are common and could lead to devastating consequences for patients. The mistakes in electronic health records are becoming an increasing source for medical malpractice...