Medical costs tend to have a multiplying effect on the overall settlement value. Therefore, a comprehensive medical analysis is a critical piece of any settlement process involving medical liability. Rising’s Settlement Support services address treatment that is unrelated, inflated or inappropriate to produce a true and accurate reflection of all medical costs.
This program integrates our medical bill review, nurse audit and physician peer review capabilities to deliver a complete and thorough analysis of medical bills and records:
• Addresses relatedness of treatment, appropriateness, causal relation, pre-existing conditions and inconsistencies in treatment, billing or coding
• Reprices acceptable treatment
• Determines a suitable medical allowance for the claim
• Serves as powerful negotiation tool to reduce unnecessarily high settlement proposals
Our Settlement Support services are beneficial when one or more of the following exists:
• Claim charges exceed $2500
• More than 15 visits to the same provider
• Questionable relatedness or reasonableness of treatment
• Aggravated or exacerbated pre-existing condition
• Catastrophic or permanent injuries
• Frequent specialty consultations / diagnostic testing
• Delay in reporting the injury or seeking treatment
• Lack of documentation or detailed treatment plan