CareReview / Solutions / Workers' Compensation
Promoting Recovery, Protecting Claim Integrity
Independent workers' compensation reviews against ODG, ACOEM, MTUS, and state guidelines, from specialty-matched physicians.
Promoting Recovery, Protecting Claim Integrity
Independent workers' compensation reviews against ODG, ACOEM, MTUS, and state guidelines, from specialty-matched physicians.
Our workers' compensation review services provide independent, evidence-based clinical opinions that adhere to applicable state guidelines and regulations.
We align each case with the appropriate specialty-matched physician to provide payers, employers, and claims administrators with timely, evidence-based decisions that promote worker recovery, ensure appropriate costs, and protect claim integrity.
Core Workers' Compensation Reviews
Utilization & Medical Necessity Reviews
Objective, guideline-driven determinations supporting appropriate treatment and cost management.
Causation & Liability Reviews
Independent clinical insight to confirm injury-related causation and compensability.
Return-to-Work Assessments
Evidence-based evaluations supporting safe, timely return-to-work decisions.
Specialty Case Reviews
Second Opinion & Specialty Match Reviews
Access to board-certified specialists matched to the case for expert clarity on complex issues.
Impairment Rating & Complex Case Reviews
Comprehensive evaluations ensuring fair, consistent impairment and disability opinions.
Pharmacy & Durable Medical Equipment (DME) Reviews
Pharmacy Reviews
Independent reviews promoting safe, effective, and appropriate medication use.
DME Reviews
Clinical validation of equipment necessity, ensuring compliance and cost-effective utilization.
Behavioral Health & Dispute Resolution
Behavioral Health Reviews
Focused assessments addressing psychological components of recovery and return to function.
Independent Dispute Resolution
Impartial, evidence-based decisions to help resolve payer-provider disagreements efficiently and fairly.