Physician advisors, American Board of Quality Assurance and Utilization Review Physician certified, with expertise in:

  • Patient Safety & Risk Management
  • Transitions of Care
  • Case Management
  • Clinical Resource Management / Utilization Review
  • Quality Improvement, Quality Management, and Quality Assurance
  • Healthcare Policy Development for Corporations, Insurers & Government
  • Compliance in healthcare

         Licensed in: Connecticut, Florida, Georgia, Illinois, Indiana, Kentucky New Jersey, New York, Ohio, Virginia

 Claims & Benefit Administration for:

  •  Insurers
  • Third Party Administrators
  • Large Employer Groups
  • Kentucky Medicaid

 Preauthorization, Medical Case Management, & Retroactive Claims Reviews for:

  • Health insurers spanning the globe
  • Medicare supplemental insurers
  • Workers compensation
  • Longshore and Harbor Workers' Compensation Act (LHWCA)  Claims as applied to U.S. government contractors working in foreign countries under the Defense Base Act

 Medical Review and/or Impairment Determination Services for:

  • Social Security
  • Disability and Accidental Death & Dismemberment Carriers
  • Life Insurance
  • Workers’ Compensation
  • Defense Base Act Carriers

Predictive Cost Analysis and Individual Underwriting Services for Stop-Loss Carriers

Provider Network Development:

  • Credentialing and privileging provider networks for health and workers compensation care
  • Building global provider networks for emergency evacuation services, as well as acute and ongoing inpatient & outpatient medical treatment

 Employer Services:

  • Opening occupational medicine clinics & employee wellness centers
  • Reducing lost time secondary to workers compensation & disability claims
  • Designing benefit plans to be attractive, yet cost effective

Turnaround Expertise:

  • Best in class methods to turn around your most unprofitable lines of business
  • Operational expertise to lower costs while improving efficiency, quality of care, cost-effectiveness and the customer service experience
  • Training your people and building your organizational capabilities to meet whatever challenges you face anywhere in the world