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Expert Health Management

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Services

Committed to Excellence, Focused on Results.

Comprehensive care tailored to your needs.

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    Support
    Services

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    Medical
    Management

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    Claims
    Administration

Each major physical injury presents its own set of special circumstances, with each patient’s needs being unique. Expert Health Management provides every client with his or her own customized and focused treatment plan, with a range of advocacy services designed to provide the best care possible.

After we determine a care plan, we call the auto insurance company to make sure any and all claims are open and billable. Once we determine a claim is open and billable, we proceed to facilitate the proper care, treatment and equipment necessary.

From medical and insurance liaison to scheduling, monitoring, consulting and planning to transportation, Expert Health Management offers a wide range of advocacy services to help guide patients and their loved ones through recovery.

Support Services

From scheduling appointments to coordinating transportation and more, we offer patients and families the support needed during recovery.

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    Liaison Services

    We provide assistance with any/all communication between healthcare team, legal counsel, insurance carriers and family members.

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    Patient Advocacy

    We fight for the rights of our client’s by ensuring quality care is delivered by all treatment team professionals.

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    Counseling

    We empower clients and families by providing them with the information they need to make wise decisions.

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    Support

    We promote positive outcomes, as well as provide you with ongoing support throughout the rehabilitation process.

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    Scheduling

    We facilitate the scheduling, canceling and re-scheduling of all our patients’ appointments.

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    Transportation

    We assist in finding and scheduling proper transportation pertaining to each client’s individual needs.

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    Environmental Services

    We make assessments of the home environment to determine if there are any safety risks or there is a need for equipment placement or home modification.

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    Medical Records Management

    We assist in obtaining and delivering any/all medical records in order to provide the best quality of care.

Medical Management

In addition to coordinating between medical teams and insurance providers, we supervise, facilitate, monitor and assist our patients with their medical care.

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    Liaison Services

    We coordinate care between all treatment team providers, which may include, but is not limited to, physicians, therapist and rehabilitation specialists.

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    Comprehensive Medical History

    We complete a detailed medical evaluation and records review in order to ensure the client’s medical care is appropriate for their specific medical needs.

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    Supervision of Treatment Plans

    We assist with the facilitation of treatment plans, as established by our patients’ physicians.

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    In-Home Visits

    We evaluate ongoing healthcare needs, provide counsel and offer support to our clients and their families.

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    Client Accompaniment

    We attend all injury related medical appointments and evaluations to ensure our patients receive the highest quality care.

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    Hospital Discharge Planning

    We coordinate with the hospital discharge planner to be sure all medical needs and equipment arrangements are made prior to discharge.

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    Monitoring

    We facilitate both skilled and unskilled care services in the home or on an outpatient basis.

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    Medical Supplies/Equipment Assistance

    We facilitate all medical supplies and equipment as ordered by the treating physicians.

Claims Administration

As part of our case management services, we will communicate regularly with your insurance carriers to make sure you are receiving all the eligible benefits available to you in your insurance policy(s).

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    Claims Processing (According to Plan’s benefits)

    We administrate claims by communicating with insurance companies to determine the benefits under each client’s policy/policies.

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    Benefit Coordination

    We coordinate multiple insurance policies in order to be sure the proper medical billing order is in place.

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    Eligibility Administration

    We communicate with the claims adjusters to determine the eligibility and authorization of all medical needs as ordered by the treating physician.

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    Home Modification Management

    We ensure all recommended home modifications are authorized by insurance providers, as well as assist with any/all documentation requirements needed by the insurance company.

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    Medical Needs

    We ensure all recommended medical needs are authorized by the insurance providers, as well as maintain open communication with the claims adjuster regarding medical status and or needs.

Your Success Is Our Goal

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