Achieving optimal performance in the Healthcare Effectiveness Data and Information Set (HEDIS) quality measures is pivotal for payers aiming to provide high-quality care and promote better health outcomes. Healthcare plans need HEDIS medical record reviews to gauge...
Under HIPAA, a business associate is a person/entity that performs certain functions/activities that may involve the use or disclosure of PHI (protected health information) on behalf of, or provides...
Wrong site surgery is one of the major reasons that give rise to medical malpractice cases, and this occurs when surgery is performed on the wrong site of the body. It is also when surgery is...
Workers’ compensation insurance offers coverage for occupational injury and illness, and the costs include medical costs and any wage replacement (indemnity) payments. The insurance company will pay...
Medical case chronology is a very important, value-added medical review service that attorneys can use when handling medical negligence, mass tort and personal injury cases. A well-prepared...
Medical record review for attorneys is a valuable service workers’ compensation lawyers use to make the important medical record evaluation process easier and quicker. Usually provided by a good...
A medical peer review involves the review and analysis of an insurance claimant’s medical records written by his/her treating physician by another physician employed by the insurance company. This...
The healthcare data of a patient resides in his/her medical records. To obtain this data for medical or legal purposes, medical record retrieval becomes necessary. This retrieval process is tedious...
The HIPAA (Health Insurance Portability and Accountability Act) gives U.S. patients the right to access their medical records and control who else has access to the information. Attorneys handling...
Medical claims review is an important process health insurers perform to ensure that the provider billings are accurate, appropriate and reasonable for the services provided to patients. It is the...
Recent news stories highlight how some hospitals in the United States have fallen victims to “ransomware” attacks. This malware locks up computers until the ransom amount, usually in the form of...
