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Utilization Review
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Why is Utilization Review necessary?
In order to maximize the amount of care that our member doctors are allowed and to keep the reimbursement at the highest level possible, the utilization review department wants to make sure that the care being provided is properly documented and justified and meets the treatment standards and guidelines.
Documentation Guidelines
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Work Comp/Personal Injury
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Chiropractic Associates of Minnesota, LLC (CAMN) performs concurrent utilization reviews, as well as retrospective reviews, for workers compensation and personal injury claims. Our goal is to complete the review and have the results back to you within 24 to 48 hours of receiving the records. Retrospective reviews will probably take a little more time, depending upon the length of the review. The cost for the reviews is $100 per 10 visits or per hour, whichever is greater, with a minimum charge of $100.
File Submission Our computer system is designed to receive records electronically, via fax or by mail. When you have a review that you would like us to perform and you want to submit the records electronically using our secure server please click on the "Submit Documentation" link above. If you want to fax the records you can fax them to the CAMN UR Department at (605) 692-0816. You can also mail the records to us at 800 Prairie Center Drive, Suite 200A; Eden Prairie MN 55344. Anytime you send us records please include a cover letter indicating whether it is a workers compensation or personal injury review, who we should send the review results to, and whether you want the results faxed or mailed.
Independant Medical Exams
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We also perform Independent Medical Exams (IME’s). The cost varies, depending upon the complexity of the exam, but the average charge is between $500 - $750. If you would like us to perform an IME please contact the CAMN UR Department.
© Chiropractic Associates of Minnesota, LLC # Privacy Policy
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