Independent Review and Medical Record Review Services:
Utilization management and medical case review for medical-legal cases are increasingly driven by emphasis on cost reduction and improvement in patient outcome.
Performed by skilled medical record review providers, Numina’s independent medical case review and utilization management services are affordable and meet all regulatory requirements and industry standards.
Effective Independent Medical Review Solutions
Independent medical review is typically required in medical-legal cases related to injuries and diseases arising out of workplace accidents and occupational hazards. The process begins with the selection of expert independent healthcare professionals who review particular medical decisions made by the employer or the insurance company regarding claims determination.
Numina Med Legal services cover treatment guidelines for the following
- Medical requirement
- Cosmetic surgery or treatment
- Investigational or experimental
- Plan / administrative language
- Out-patient or facility length of stay