What are Independent File Reviews?
Independent file reviews are objective and unbiased medical reviews by independent medical experts regarding an injury or illness in medico-legal cases based primarily on the individual’s medical file. These reviews are designed for attorneys who seek an expert opinion without a medical evaluation.
Who can perform Independent File Reviews?
Independent file reviews are usually performed by certified medical doctors with advanced fellowship training in a subspecialty that is related to the injury or illness of the individual.
Purpose of Independent File Reviews
The independent file reviews may be used for:
- Identification of the cause and contributing factors for an injury or illness
- Evaluation of the severity of the injury or illness
- Establishment of the level of disability and ability to return to work
- Recommendation for possible further treatment
Benefits of Independent File Reviews
Benefits of independent file reviews include the following:
- Cost-effective method of resolving disputes on medical benefits
- Ensure decisions are based on evidence-based medical standards
- Prevent unnecessary services in the healthcare industry
- May be used as a fraud detection tool and in negotiations for liability claims
- Accelerate time frames when making decisions in complex medical cases
- Serve as a comprehensive resource for many healthcare plans and payers