Article

Customized Medical Claims Review Support Services for Social Security Disability Firms

Written by Bob Kruse

Topic: Medical Advice and ResourcesPublished September 5, 2011
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A claims review involves the review of a patient’s complete claims history. In the case of social security benefits, social security disability (SSD) firms have to verify if the applicant actually received the services for which claims are submitted. This is a time-consuming process and has to be performed accurately. Fortunately, there are many professional outsourcing service providers in the U.S. providing customized medical claims review support services for social security disability firms. Such support ensures the proper review and evaluation of various kinds of disability claims. Medical Record Review - Detecting Errors in Medical Claims Discrepancies in the submission of claims can result in denial of benefits. Medical claims have to be examined to verify:
  • if there were errors in putting together claims data
  • if the services were delivered
  • if there were coding errors
  • if the medical record matches the claims record
  • whether all the information provided is correct, and not misleading or falsified
Professional medical review companies ensure that medical records are thoroughly reviewed to avoid improprieties or mistakes in claim submission. Medical Claims Review Process An experienced medical review company is staffed with professionals who know all about the business of medical records and claims review. Equipped with the latest technology, they support the review process in keeping with necessary standards. Procedures performed include referencing of the claimant, medical record documents' tab, and identification numbers, chronological ordering of important events with time-lines, classification, sorting and indexing of medical records, and review and organization of data in comprehensible format. Partnering with the Right Support Service Provider Social security disability firms need to partner with the right service provider. As they have to review the medical claims of many clients, they can avoid errors and ensure timely submission of claims by seeking the support of outsourcing companies that offer expert medico-legal review solutions. Gains would include:
  • Results in customizable turnaround time
  • Dedicated team on the job
  • Stringent quality control to ensure error-free solutions
  • HIPAA compliance
  • Competitive pricing
  • Use of customer-centric software
Such customized medical claims review support services for social security disability firms ensure the thorough evaluation of social security disability claims so that the applicants receive the benefits they are entitled to. If a claim is denied, an established medical review company can help file an appeal by collecting evidence to support the SSD claim, offering support for pre-trial preparation and providing medical chart audits and individual written reports for each client.

Article author

About the Author

Professionals at Managed Outsource Solutions (MOS) provide assistance in preparing documentation for utilization review, physician peer review, medical peer review, disability opinion, pre-authorization, medical chart review, and medical necessity review.

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