Medical Review

Our Medical Review Team is comprised of subject matter experts across the field of medical professions (e.g., nurse RN’s, licensed physicians from different specialties, surgeons, certified medical coders, medical case managers, etc.).   Our staff is skilled in OWCP FECA Program and CMS Medicare and Medicaid coverage guidelines and payment methodologies.  We support our CMS prime contractors and OWCP Federal Agency clients in analyzing each medical claim.  Our Medical Review Physicians provide case evaluation and medical record review so that WCC case managers can determine the next steps to take with a focus on appropriate medical care and return-to-work, if applicable.