Posted 4 months ago
Orthopedic Surgery - Texas Contra-Affidavit
AI Summary
A Texas-licensed orthopedic surgeon reviews medical records and provides expert counter-affidavit opinions on medical necessity, CPT coding, and usual/customary fees for insurance and legal cases on a contract basis.
About this role
Dane Street is expanding our physician panel! Dane Street is a national Independent Review Organization and we have a very robust legal clientele. As our business has expanded, we have need to add experts to our physician panel to support Texas Contra-Affidavit and exert witness requests. This is an excellent opportunity for supplemental income for physicians providing a caseload customized to your schedule. Our physician panel is comprised of independent contract reviewers (1099) compensated on a per-case basis.
A Texas medical license, active practice, and board certification in Orthopedic Surgery is required.
Requirements
As Physician Reviewer/Advisor supporting Dane Street Legal Services IMEs, the physician reviews medical records and may address clinical questions, medical necessity of treatment, and usual and customary charges for services. The expert will support the Counter-Affidavit process and be available for deposition and trial expert. Counter affidavit/testimony/deposition work experience preferred. Experience and expertise in analyzing the application of CPT codes in combination with usual and customary rates and state fee schedules in addition to clinical expertise is essential.
MAJOR DUTIES AND RESPONSIBILITIES:
* On a contract basis as individual schedule permits, accepts cases, reviews all medical records, and completes the counter-affidavit process addressing each question and all clinical concerns as well as any charges/fee concerns based upon the expertise as a clinician and standards and norms in terms of fees/charges in Texas practice.
* Provides copies of any criteria utilized in a review with the report in a timely manner
* Returns cases on or before the due date and time specified
* Performs other duties as assigned, including addressing any necessary clarification, providing addenda as required (with additional compensation), and identifying and responding to client questions as necessary
Benefits
- Robust opportunity for supplemental income
- Schedule flexibility and predictable work hours - You set the volume, and conduct exams based on your schedule availability
- No doctor/patient relationship is established, and no treatment is provided. These are advisory-only opinions.
- Enhanced industry expertise, strengthening your medical practice with medical necessity and utilization review/management expertise
- Expanded credentials as an expert in Independent Medical Exams and physician advisor services
- No-show fees and late cancellation fees are established to protect your time.
- Fully prepped cases, streamlined case flow, transcription services at no cost, and a user-friendly work portal
Dane Street supports all referral processes, scheduling, preps cases extensively, prepares all medical records, provides transcription services as applicable, facilitates all client communications, and ensures the quality and timeliness of all reports and report delivery.
Skills
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