Powerful Medicine for a Strong Defense...
Serving Insurers and Defense Counsel
We specialize in Expert Nurse Reviews, Utilization Reviews and Medical Bill Audits that recapture and save insurers millions of dollars annually by reducing healthcare providers’ fees in personal injury claims and litigated cases. We also offer subrogation of fee reductions.
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Achieving Positive Results for Insurers and Defense Counsel Through Forensic Analysis and Expert Review of Medical Records, Utilization Reviews, Audits of Medical Bills, and Subrogation of Fee Reductions for Insurers.
CLMC provides comprehensive analyses of medical records and significant reductions of medical bills in the defense of claims and lawsuits where injury or illness due to negligence is an issue, saving our clients and their clients millions annually. Our nurse experts, and expert certified coders can testify at trial. Our subrogation specialists are experienced in negotiating fee reductions to minimize insurers’ loss ratio.
Utilization Reviews/Medical Bill Audits
Our expert nurse consultants, expert certified coders, legal and insurance industry consultants deliver customized work products that are manually analyzed, deciphered, and researched utilizing federal and state guidelines that systematically reduce healthcare providers’ fees to the usual, customary and reasonable charge for the healthcare provider’s specialty in his/her geographical area. This process significantly reduces the settlement value of your claims and/or litigated cases two to three times its value, minimizing loss ratios significantly. Historically, the reductions in personal injury claims and litigated cases are in the millions annually. Our expert certified coders reduce the bills to the usual, customary and reasonable charge. Our nurse experts then review and correlate the medical records with the medical bills to determine whether the treatment was medically necessary and whether the treatment rendered was for pre-existing conditions, whether any charges were bundled or upcoded, duplicated or not performed. Due to this two step process, our fee reductions are significant and stand on their own. CLMC utilizes the precise federal and state guidelines that meet each case’s unique, individual needs.
Our clients save and/or recoup millions annually minimizing their loss ratios significantly.
Insurers and competitive attorneys who want a leading edge retain us to facilitate a swift, forensic investigation, analysis and reduction of the settlement value of their professional/general liability claims and litigation cases.
