Services

Audit and Consulting Services

  • Medical Bill Audits
  • Medical Bill Reviews
  • TPA / Claims Processing Audits
    • Compensability
    • Payment Accuracy
    • Billing/Coding Accuracy
    • Contract Compliance
  • Quality of Care Audits
  • Process / Systems Evaluation
  • Fraud Detection / Prevention
  • Laser Underwriting
  • Medical / Legal Case Review and Fee Evaluation
  • Future Care Set Asides

Case Management

  • Domestic Case Oversight
    • Local on-site (Miami-Dade, Broward, Monroe and West Palm Beach County)
    • Regional or National telephonic
  • International Case Management
    • Latin America / Caribbean
      • Telephonic Case Management
      • On-site presence (when necessary or requested)
  • Participation in the care planning and delivery process to insure effective use of resources



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