A Vital Outsourcing Ally
Services
Vital Medics Solutions Provides NJ and NY no-fault attorneys and medical
providers with the supporting medicolegal documents
About
We are team of highly qualified and experienced professionals to deliver with accuracy, speed, and reliability the most productive and cost-effective offshore medicolegal support services to meet our clients' outsourcing needs.
Vital Medics Solutions is managed by highly qualified team of medical professionals providing research services which work as value for money. Our people are committed to maximizing the speed, quality and efficiency of your operations. More than that, we’re committed to being truly collaborative partners, working proactively to deliver on your specific needs, aspirations and definitions of success. Our services are designed to solve your most complex challenges more quickly, completely and cost-effectively than any organization.
Services:
MEDICO-LEGAL:
We are expert is drafting medico-legal documents required by NY and NJ no-fault attorneys and medical providers. Our skilled team of medical professionals can provide you with meticulously researched and case-specific documents.
No-fault affidavits
Rebuttals / Contrary Opinion to oppose the denials issued by insurance company based on a peer review or IME (Independent Medical Examinations).
Narrative reports
Letter of Medical Necessity (LMN)
NJ briefs
For those cases in which payment of your New York No-Fault claim is denied due to an alleged “lack of medical necessity” by the carrier, you as the medical provider have the opportunity to arbitrate your claim and must submit your medical records as well as the medical records of your patients other treating doctors and an affidavit of medical necessity challenging and rebutting the allegations of the insurance carrier’s medical report.
Vital Medics Solutions I can provide you with a case-specific rebuttal affidavit of medical necessity addressing the insurer’s peer review report and/or IME report will need to be submitted as part of the initial Arbitration package.
The items listed below with an asterisk must be provided. The other information is helpful,
and should be provided.
1. NY Assignment of Benefits
2. Unpaid NF-3 NY No-Fault billing claim form(s)
3. Denial of claim form(s) received for unpaid NY PIP claims.
4. A copy of the Peer Review or IME report.
5. Copy of the carrier’s verification request (if applicable).
6. A copy of the verification Response submitted to insurance carrier (if applicable).
7. Proof of mailing of unpaid New York No-Fault billing claim form(s).
8. Proof of mailing of each verification response submitted to the insurance carrier.
9. Available medical records for each patient – initial examination, follow-up evaluations, MRI reports, patient evaluations conducted by other treating practitioners, operative reports, and EMG/NCV reports.
New Jersey law requires Decision Point Review, Precertification and Notification Requirements for patients who are injured in auto accidents and their medical providers. In reply we provide appeal letters, Letter of Medical Necessity (LMN) and letters requesting for authorization of a particular treatment or diagnostic test and Narrative reports of the treatment and testing that were provided to the patient.
Healthcare Revenue Cycle Management:
A revenue cycle is the process that healthcare businesses use to describe the financial progression of their accounts receivables from the very beginning, when they first acquire a patient to their practice until they get paid in full. Revenue cycle is all administrative and clinical functions that contribute to the capture, management and collection of patient service revenue. It is the service point of entry to payment receipt/resolution.