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.
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