Send your electronic claims to us for a rapid automated analysis. We have developed proprietary software to identify claims that do not meet standard performance criteria. This software is based on policies recommended by the American Association of Electrodiagnostic and Neuromuscular Medicine, the American Medical Association, the American Academy of Neurology, the American Academy of Physical Medicine and Rehabilitation, the Center for Medicare Services and most commercial payers.
Additionally, we have reviewed the data from over 100,000 valid EMG claims for physicians who are both board certified in electromyography and board certified in their primary specialty. These physicians hold the highest degree of accreditation with the prestigious exemplary status designation. This data has formed the basis for the development of our “custom rules." Each electronic HCFA 1500 claim will automatically be scored for deviations from standard practice procedures with these “custom rules." These automatic claim reviews will answer critical questions about the qualifications of the doctor, the appropriateness of equipment and any technical issues.
In addition to evaluating each EMG and nerve conduction study for deviations from customary procedure, we will evaluate each claim for medical necessity in line with our extensive database of Medicare and non-Medicare policies. For additional services please see Menu of additional claims review services.
We also offer manual evaluations of individual reports by certified EMG physicians and nerve conduction technologists. Please see Physician Review tab.
Automated Claims Review
Send your electronic claims to us for a rapid automated analysis. We have developed proprietary software to identify claims that do not meet standard performance criteria. This software is based on policies recommended by the American Association of Electrodiagnostic and Neuromuscular Medicine, the American Medical Association, the American Academy of Neurology, the American Academy of Physical Medicine and Rehabilitation, Center for Medicare Services and most commercial payers. (Links Page). Additionally, we have reviewed the data from over 100,000 valid EMG claims for physicians who are both board certified in electromyography and board certified in their primary specialty. These physicians hold the highest degree of accreditation with the prestigious exemplary status designation. This data has formed the basis for the development of our customary “custom rules”. Each electronic HCFA 1500 claim will automatically be scored for deviations from standard practice procedures with these “custom rules”. These automatic claims reviews will answer critical questions about the qualifications of the doctor, appropriateness of equipment and technical issues.
In additional to evaluating each EMG and nerve conduction study for deviations from customary procedure, we will evaluate each claim for medical necessity with our extensive database of Medicare and non-Medicare policies. For additional services please see “menu of additional claims review services”.
We also offer manual evaluations of individual reports by certified EMG physicians and nerve conduction technologists. Please see “Physician Review” tab.