Causation disputes and treatment necessity analysis for claimant attorneys, defense firms, TPAs, and carriers — using the same documentation-threshold framework that payers apply in utilization management.
Medical exposure assessment for reserve-setting and settlement authority.
Pre-mediation or pre-hearing analysis of the medical exposure.
Analysis of IME reports commissioned for WC cases.
Mapping treatment gaps against the utilization management framework used to challenge medical necessity.
For occupational injury cases with prior musculoskeletal conditions — maps the apportionment argument.
For TPAs and carriers making initial reserve decisions.
The same documentation-threshold analysis, applied to support claimant attorneys. Causation support for injured workers' claims, treatment necessity documentation analysis, and IME deconstruction for claimant-side WC cases.
Defense WC IMEs deconstructed — unsupported assertions, omitted findings, deposition questions for the IME physician.
Does the record support the claimed work-related injury and proposed treatment course?
Maps gaps using the framework WC carriers use to challenge medical necessity — with documentation strategies to address them.