Medical Validations & Personal Injury

Personal Injury  healthcare physicians’ notes often contain challenging documentation quality and content that attorneys and insurance companies find difficult to incorporate into the settlement process, leading to difficulties in resolving the claim to everyone’s satisfaction. Insurers, patients and plaintiff attorneys know that trained, licensed health care physicians offer valuable care, yet at times the care documentation and coding may not be recognizable, to allow for a fair and reasonable settlement of claims. The validation of documentation and coding assists insurers and plaintiff attorneys in coming to a more accurate measurement of each claims value and facilitating a more satisfactory settlement of insurance claims. PI Medical Fortress validation doctors offer the solution to these difficult situations by giving you access to their specialty training in reviewing existing medical findings.

Code scouring for documented yet missing coding and treatment recommendations, hidden document details regarding MMI, ongoing treatment recommendations and future treatment options, and causal linking to the instant MVA and treatment validation help to increase the settlement value. Properly documented DUD/LOE can also offer added settlement value. PI Medical Fortress has highly skilled and experienced team members providing these services.

Our experience and insight with insurance company claims-management software and systems can provide strong support for your team’s med-legal case management.

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