Strategic Dispute Resolution

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Successfully defending prior payment decisions can be challenging. This is particularly true when multiple TPA's and bill review companies are used and as changes in claims systems and network access occur.

Qmedtrix offers expertise developed from over a decade of national dispute resolution, negotiation, and litigation experience to develop strategies that achieve fair resolution of disputes arising from bills not reviewed using the Qmedtrix methodology. Our attorneys, medical directors, data analysts and bill auditors recognize the potential of individual settlements to impact future disputes and work closely with the payer to develop a sensible, timely and cost-effective way of resolving disputes.

Service packages include the review of medical bills and related documentation, an executive summary of results, strategy development (with counsel, if necessary), exhibit preparation and expert witness testimony for trial. Strategic data supported negotiation and settlement assistance can also be provided in cases where avoiding litigation is in the best interest of all parties and often desired by the courts.