Professional Services
The
world of healthcare services can often be a complex and bureaucratic one that
is difficult to maneuver and master without the right insight and expertise.
Having been a clinical social worker for over 10 years, I have the
necessary tools and experience to offer health care consulting services in
the following areas:
 Pre-certification/utilization and pricing
services for psychiatric inpatient treatment
Optimum, efficient and cost-effective
utilization of treatment services
Third party reimbursement services,
including assessment of problematic claims and recovery of incorrectly paid,
unpaid, or denied reimbursement
Clinical appeals services to overturn denied
claims for services which are medically necessary
Medicaid reimbursement services for Medicaid
claims that have been denied for various reasons, i.e., medical necessity,
and Medicaid eligibility/pending Medicaid circumstances
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