Services
We provide medical-legal services to attorneys, insurance companies, government agencies, and employers.
Expert Exams provides licensed medical professionals and experienced med-legal professionals for the following services:
Our Independent Medical Evaluations (IME) are performed by experienced doctors of several specialties who provide objective, expert assessments tailored to meet the needs of attorneys and insurance companies designed to ensure fairness and accuracy.
Advantages:
- Objective Assessments: Our evaluations focus on providing unbiased opinions based on medical history, examinations, and relevant diagnostic tests
- Experienced Medical Experts: We collaborate with a network of qualified physicians with extensive experience in conducting IMEs across multiple specialties
- Comprehensive Reports: Each evaluation culminates in a detailed report that includes findings, conclusions, and recommendations, assisting stakeholders in making informed decisions
- Timely Turnaround: Timely evaluations are critical and our team is dedicated to providing prompt service without compromising quality
Advantages:
- Expert Network: Access to a diverse pool of highly qualified and experienced QME and AME doctors
- Streamlined Process: Efficient scheduling and coordination to minimize delays in evaluations and minimize case length
- Comprehensive Reports: Detailed and strong med-legal evaluation reports that meet regulatory requirements and facilitate decision-making
- Support Team: Dedicated customer service team available to assist with inquiries and resolve issues promptly
Comprehensive Reviews are completed by certified Legal Nurse Consultants (LNC) equipped with the skills and expertise to perform in-depth medical reviews and evaluations. We are available to respond to your questions and will customize our services to meet your needs.
Advantages:
- Chronological and unbiased summaries of medical records and treatment performed by a certified LNC
- Identify missing records, delays in care, excessive treatment, credibility issues, and matters related to standards of care
- Compare and correlate medical treatment and documentation to allegations
- Educate claims examiners and attorney regarding medical facts and issues
- Provide conclusions and recommendations to aid in developing case strategy and claim reserve
Our bill review provides a review only of medical bills so our clients can determine the actual cost of treatment. This information is used for settlement purposes or to determine actual value of the medical portion of the claim. Our bill review experts can also provide affidavits, which can be tailored to meet each jurisdiction’s requirements.
Advantages:
- Medical bills are reviewed to achieve optimum cost containment
- Provides a comprehensive coding review, and bill re-pricing
- Fraud detection
- Usual, customary, and reasonable review
Expert Exams will combine, organize, and index your paper or electronic medical records into one PDF electronic binder. All case file records will be indexed according to the type of document or service, placed into chronological order and Bates numbered.
Advantages:
- Turns chaotic unorganized records into one organized & indexed electronic PDF file
- Easily identify missing medical records and gaps in care
- Saves time and money for your Staff and medical experts
- Provides quick navigation of the medical records necessary to support the litigation process
Advantages:
- Expert opinion related to care and treatment
- Expert review of all medical records and comment on past medical and surgical history, relatedness, of symptoms to:
- Injury
- Causality
- Progress toward recovery
We utilize experienced, licensed, board certified Radiologists to review medical imaging, such as X-rays, MRI, and CT scans. This is a review of imaging and diagnostic reports only, no examination required.
Advantages:
- Determine age of injury or pre-existing conditions
- Confirm diagnosis
- Confirm level of healing
- Confirm image quality
A bill review summary tabulates all medical bills and provides a breakdown of charges by provider and/or facility. The reviewer will also identify medical bills not related to the date of occurrence.
Experienced professionals provide an accurate assessment of the exposure for future medical costs. Our Medical Cost Projection solutions are tailored to meet individual clients’ needs. This services features Medicare and Social Security disability verification, comprehensive MCP assessment (can be utilized on either workers’ compensation or liability claims), conditional payment investigations, and customized electronic intake workflow.
Advantages:
- Proven reliability in clinical assessments
- Expedited referrals completed in 5 business days; standard referrals completed in 10 business days
- Customized, creative solutions for allocation and pricing of prescription of medications
- Real-time reports for up-to-the-minute information
- Availability of medical professionals to mitigate and manage excessive treatment patterns
Expert Exams’ MSA services ensure compliance with Medicare regulations by allocating a portion of your settlement for future medical expenses related to your injury. We provide expert analysis and guidance to accurately calculate and administer the MSA, safeguarding your Medicare benefits while protecting your financial interests.