MediCase Management offers a variety of services. Our programs lead to solutions that work.

Medical Claim Review

MediCase Management improves claim distribution through claim review and management. We conduct objective reviews of medical records to address all services performed and the charges incurred. This includes:

  • Worker's Compensation
  • Auto Injury
  • Medical Liability
  • Medicare / Medicaid

MediCase Management will uncover specific identifiers of how and where the injury started. We identify the idiosyncrasies of the injury / condition, assign the concerns into recognizable areas, and even assist with interpreting those in which significant costs can be incurred. These areas include:

  • Compiling medical treatment information, statements, and claim forms
  • Separating information that is not causally related
  • Reviewing provider bills for accuracy and duplication
  • Negotiating final bill payment
Medical Evaluations

MediCase Management answers specific questions clarifying and resolving any medical based claims. We ensure that patients have or are receiving the best care. By assigning a nurse to every individual case, and providing a clear and well documented review, physicians can offer better documentation and medical professional opinions. MediCase's medical evaluations address:

  • Diagnosis / prognosis
  • Medical treatment plan – current, completed, or additional
  • Specialty referrals
  • Potential medical impairment
Medical Investigations

MediCase Management provides a thorough report after reviewing multiple variables. Claims often raise questions regarding the delivery of care, appropriateness of treatment, or necessity of medical services, MediCase Management will provide medical record reviews, retrieve and copy medical records as needed and analyze data. Our reporting includes:

  • Independent Medical Evaluations
  • Peer review
  • File Review
  • Bill Review

For further information, please contact us at (317) 727-5131