Defective medical device cases lean heavily on intricate medical details. Therefore, to build strong cases, attorneys representing victims need to understand the contents of the relevant medical records. This is possible through a comprehensive medical chart review....
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Medical Peer Review for Insurance – Frequently Asked Questions
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...
Important Facts to Know about Health Insurance and Mental Health Services
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...
Artificial Intelligence Could Help Detect Health Insurance Fraud
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...
Workers’ Compensation Industry Trends to Watch for in 2019
Just as other personal injury claims, workers' compensation claims also hinge on medical chart reviews as a solid way to establish the injury and its intensity. The benefits paid by workers'...
Medical Record Retrieval Costs High, Says Nova Scotia Residents
The patient medical record is a valuable medical and legal document that has to be maintained safely by medical record custodians. When required for a legal use, attorneys employ medical record...
What Medical Conditions Qualify for Disability Benefits?
Anyone can fall prey to a severe disability that limits one's ability to work and lead a normal, pain-free life. Studies demonstrate that a 20-year-old worker has a 1-in-4 chance of becoming...
Digital Disruption a Necessity in the Workers’ Compensation Industry
Workers' compensation is a highly beneficial program providing the much needed economic support to injured workers during their trauma and recovery. Medical claims review and other formalities...
Catastrophic Injury Claims and Their Impact on Workers’ Compensation
Workers' compensation claims could be catastrophic claims that include burn injuries, spinal cord injuries, acquired head injuries and multiple trauma injuries that make up less than 1% of all...
How to Handle Medicare Advantage Claim Denials
Medicare Advantage (MA) plans allow Medicare beneficiaries to receive benefits through private plans rather than traditional FFS (Fee for Service) program. Medicare regulations require MA...
How Does Florida Personal Injury Law Work
The concept underlying most legal cases such as personal injury, medical malpractice, auto accidents, and slip and falls is negligence. When you are injured by the negligence of another person, you...