Services - Medical Director Solutions

PROSPECTIVE

* Pre-Certification & Appeals for Elective Hospital Admissions, Outpatient Diagnostics, Treatments and Procedures
* Review of Treatment Plans
* Decision Support for Extra-Contractual Benefits
* Pre-Employment Screening Programs
* Plan Design & Contract Language
* Corporate Medical Director Support
* Provider Network Compliance & Control (“Steerage”)

CONCURRENT

* Inpatient Stay Review
* Review of Treatment Plans
* Expedited Telephonic Appeals
* Physician Support & Guidance for Utilization & Medical Management (Consults or "Telephonic Rounds”)
* Physician Support & Guidance for Case Management (Consults or “Telephonic Rounds”)
* Corporate Medical Director Support
* Provider Network Compliance & Control (“Steerage”)

RETROSPECTIVE

* Medical File Review
* Physician Peer Review
* Medical Claims Data Analysis
* Complex Surgical Bill Review
* Medical Management Performance Audits
* Corporate Medical Director Support
* Coordination of Independent Medical Exams & Functional Capacity Exams

Medical Director Solutions is uniquely positioned to positively impact the healthcare outcomes of employees, dependents and insureds. By establishing long term, risk-manageing strategies in a “partnering” mode, MDS will help you achieve the lowest total cost. Any and all services may be provided for group health, short-term-disability, long-term-disability, workers’ compensation, waiver of life insurance premium, automobile liability and other liabilities involving medical issues.