November 26, 2019
MLS Group of Companies, LLC (MLS) has a wealth of experience in providing workers’ compensation medical reviews. We employ a nationwide network of licensed, Board-certified physicians who review and assess the clinical aspects of workers’ compensation claims. As part of the workers’ comp claims process, we facilitate independent medical examinations and work with insurance carriers, third-party administrators and employers to produce a report that adheres to high standards.
MLS is a URAC-accredited, national provider of independent medical reviews, including workers’ compensation (WC) claims. We work with clients across the United States and boast a nationwide network of physician specialists and sub-specialists that objectively perform examinations and help determine an unbiased opinion for WC claims.
Additionally, MLS employs a full-time medical director to ensure all examinations and claims are handled appropriately, and that they are compliant and adhere to local, state and federal regulations.
Physician reviewers carry expertise in a variety of medical specialties, from orthopedics to PM&Rs. After WC claims are submitted, our nurse-driven quality assurance model ensures that all independent medical examinations and peer reviews are accurate, objective and comprehensive. MLS reviewers understand that when it comes to your health, time is of the essence; that is why we pride ourselves on quick turnaround times.
Each WC claim is unique and must be treated so by an independent review organization (IRO). Because of this, MLS offers clients a customizable template that enables them to apply the appropriate processes, questions and guidelines to each review. Ensuring that each patient receives an unbiased, expert review is of tantamount importance — something we understand and are committed to providing.
Typically, the WC process looks something like this:
But where does an independent review organization come in? An IRO conducts independent medical examinations and peer reviews of a claimant’s case. An IRO can help make the WC process more efficient, reduce overtreatment and ensure legal compliance.
The laws for requesting independent medical reviews vary by state, but MLS employs a network of physician reviewers across the United States who are experts in local, state and federal laws surrounding WC claims.
Companies and WC organizations are taking the initiative to not only streamline the WC process, but also to prevent further workplace injuries with extra safety training and additional protocols. It’s also important for companies to inform an injured employee of their rights in the WC claim process and their right to an appeal. Whether the insurer approves or denies a claim, the most important part of the WC process is to ensure employees receive necessary treatment so they can return to work.
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