Ask REOH about return to work, causation, appropriateness of treatment, impairment ratings, independent medical evaluations, pre-existing conditions, peer review, legal support, record reviews, and quick file reviews.
Ask REOH about return to work, causation, appropriateness of treatment, impairment ratings, independent medical evaluations, pre-existing conditions, peer review, legal support, record reviews, and quick file reviews.
REOH provides expedient medical records review services, we call Quick Reviews (QR), for the workers’ compensation, automotive, property, and group health insurance industries. Our Quick Reviews are designed to focus on specific issues of concern to the requesting party. The QR includes a dictated review of the medical records and rely on referenced current medical literature and current treatment guidelines, to produce an evidence-based written report, with answers to questions submitted by the requesting party as part of this report.
REOH’s Quick Reviews are beneficial when one or more of the following exist:
Causation Assessment needed
More than reasonable number of visits to the same provider with no functional improvement
Questionable relatedness of treatment to a specific claim
Questionable reasonableness of treatment
Potential pharmacy over-utilization
Aggravated or exacerbated pre-existing condition(s)
Catastrophic or permanent injuries
Frequent specialty consultations/diagnostic testing with no definitive diagnosis
Establishing causation in cases of delay in reporting an injury or delay in seeking treatment for a specific claim
Lack of medical documentation or evidence-based treatment plan
Turnaround time is a maximum of four business days from medical record submission.
To ensure that reviews are based on the best evidence-based information available, REOH uses legally defensible guidelines (found here).
REOH cannot review files regarding: Medicare supplement, disability income, hospital indemnity, specified accident, credit, long term care, and non-governmental self-funded plans.