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OUR SERVICES
Knee Joint Examination

Inpatient Medical Reviews

Knee Joint Examination
Supportive Doctor

Initial and Concurrent Review of Members While Hospitalized

Supportive Doctor
Medical Checkup

Readmission Linkage
for Index Admission

Medical Checkup
Doctor

Retrospective Review of
Members for Level
of Care Determination

Doctor
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PEER-TO-PEER REVIEWS

Our team of physicians conducts peer to peer reviews after thorough and comprehensive review of the chart. We are trained on the latest CMS guidelines for appropriateness of care.

IMAGING

We have a team of physiatrists and orthopedic surgeons evaluate imaging modalities used in diagnosis and treatment of chronic conditions such as back pain, knee pain and hip pain.

BEHAVIORAL HEALTH REVIEWS

Our board-certified psychiatrists evaluate the appropriate level of care.

ORTHOPEDIC INTERVENTIONS

Our physician leads use evidence-based data to review medical cases for appropriateness of procedures and interventions. 

APPEALS TEAM

Our appeals team can review cases as well as additional documentation from providers and hospitals to determine the best level of care. 

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