Comprehensive File Review
A thorough review of an entire claim file, including all medical and diagnostic information, addressing the current state and course of action as well as formulating a suggested course of action toward file resolution. Focus areas include, but are not limited to:
- Causality of injury and compensability of treatment requests
- Treatment utilization and return to work options
- Comprehensive pharmacy review including:
- Opioid utilization
- Long term toxicity
- Interaction with comorbid prescriptions
- Emerging drug review
- Pain mitigation options
- Physical medicine and diagnostic services utilization and efficacy
- Use of catastrophic, home health and medical equipment
- Comorbidity assessment and accommodation options / compliance (especially for STD/LTD claims)
This service is also available in a customized fashion to address specific questions posed by the nursing or adjusting staff and can be coordinated with our Independent Medical Exam and Peer Review services for maximum impact.