GENEX Case Management Services also include measures specifically
designed to further evaluate injuries and expedite the recovery progress. These
services support the overall goals of both Medical and Vocational Case Management.
Independent Medical Evaluation (IME)
GENEX coordinates Independent Medical Evaluations (IMEs) and Peer Review Services
nationwide. The experienced IME/Peer Review staff in our regional service
centers reviews the claim referred and selects one of our consulting physicians
to evaluate the medical condition and address claim concerns. GENEX offers
exceptional customer service, superior scheduling and report turn around times.
Our Independent Medical Evaluations provide fair and objective examinations
of the individual and clinical records, resulting in a high quality report
for all parties involved.
Peer Review Services
Peer Review is a retrospective review of a practitioner's medical treatment
plan to determine the medical necessity and appropriateness of the treatment
rendered. Our consulting physicians are readily available for depositions
and testimony, and they will provide comprehensive reports that include recommendations
regarding both past and future medical treatment.
Our network of consulting physicians includes those who are in active practice,
credentialed and board certified. We offer the ability to schedule IMEs in
all specialties across multiple lines of insurance. Our consulting physicians
offer convenient access to local clinics and offices for IMEs, providing extensive
geographic coverage incorporating all 50 states, Canada and Puerto Rico.
If a provider questions issues of medical necessity and high dollar reductions,
our local networks of physician consultants are able to appropriately re-evaluate
bill review determinations. The development of local, professional medical
claims support allows us to provide additional savings for our clients.
In addition to IME and Peer Review services, GENEX offers: