COMPLIANCE AND MEDICAL TREATMENT GUIDELINES VARIANCES

Viscardi Resources provides unparalleled guidance in navigating the constantly changing landscape of New York State's regulatory Medical Treatment Guidelines. Through a fact based analysis of each claim, a trajectory is selected to maximize efficiency and positive patient outcomes.

Specific engagement roles include:

  • Claim analysis and trajectory optimization
  • Registered Nurse review of "Optional Prior Approval" and "Provider's Request for Approval of Variance"
  • Determination of compliance with current Medical Treatment Guidelines 
  • Claims adjuster consultation on claimant history and current status
  • Status recommendations
  • Medical reporting to substantiate (when appropriate) recommendations for: citations from MTG, provider documentation, IME/Peer review, diagnostic testing and prior treatment outcomes, possible citations.  
  • Medical and Indemnity savings consultation and determination

Contact mtg@viscardiresources.com