Basic Review: Basic Reviews give you streamlined reports at less expense.  Reviews are handled online, saving you time and making it quick and easy to get your reports.

Standard Review: Standard reviews are conducted by physician reviewers who dictate responses to specific questions posed by the client. The more complicated cases are handled as standard reviews. 

Review Issues Include:

·        Medical Necessity

·        Cosmetic

·        Experimental or Investigational Procedures

·        Pre-certification, Concurrent and Retrospective Review

·        Physician-to-Physician Discussions

·        Fee Code Analysis – Coding and Billing Issues

·        Plan Language

·        Workers Compensation

·        Causality

·        Pre-existing Conditions

·        Transplants

·        Oncology Treatment

Expanded Services:

PRN also offers services to meet the broad needs of companies with respect to healthcare law and international business.  These services include forensic reviews for litigation, arbitration services, physician panel reviews, Independent Medical Examinations (IME), and International Reviews. 

To assist clients with their quality improvement projects, PRN also provides review of proprietary treatment protocols, clinical performance audits, independent chart reviews for the quality of care, and internal audits.  All clients can request specialized statistical reporting related to cases submitted to PRN reviewers.

Medical Director Services:

Some clients need access to a Medical Director for their in-house case processing or a special medical director to meet state requirements.  PRN helps clients meet their requirements by providing physicians to serve as medical directors on either an on-site or telephonic basis.