Marker 28 is a leading provider of independent medical examinations, peer reviews, bill reviews, Medicare compliance, case management, record retrieval, document management and related services.
We provide IME services through our medical panel of credentialed physicians and allied medical professionals. Our independent medical review process is fully contained within our private cloud network. Custom portals, applications, workflow enhancements and systems integration are part and parcel of our service, all included for the price of an IME service.
Our clients include property and casualty insurance carriers, law firms, third-party claim administrators and government agencies that use independent services to confirm the veracity of claims by sick or injured individuals under automotive, disability, liability and workers’ compensation insurance coverages.
We help our clients in the U.S., Canada, the United Kingdom and Australia manage costs and enhance their risk management processes by verifying the validity of claims, identifying fraud and providing fast, efficient and quality IME services.
Medicare Set-Aside: (Workers’ Compensation & Liability)
A Medicare Set-Aside allocation is an estimate of future Medicare covered services related to an injury. At Marker 28, we will perform an in-depth review of the injured party’s medical records to determine the future anticipated medical and prescription expenses for their lifetime.In addition to the allocation, we will examine the cost-drivers in the WCMSA, and address those issues that will trigger development letters or counter-higher demands. Let our experienced compliance experts help you with saving time and money for your MSA settlement.
Conditional Payment Search & Investigation
In order to comply with the MSP guidelines, addressing Conditional Payments is recommended at the request of a Medicare Set-Aside. At Marker 28, we offer resolution services uniquely tailored to meet the needs of all parties. Through our superior services we will assist in protecting all parties’ interests, and help identify and eliminate costly unrelated claims.Future Medical Cost Projection (FMCP)
A Future Medical Cost Projection (FMCP) is a detail comprehensive analysis of an individual’s medical needs and expenses over a projected period or a lifetime. This projection is utilized in setting reserves. Our experienced Clinical team will help identify the primary cost drivers for medical treatment and prescription costs. In addition to the FMCP allocation, we provide recommendations to potentially reduce the claim costs.Legal Nurse Review (LNR) & Medical Bill Review (MBR)
A Legal Nurse Review is an interpretation of medical records, documents and medical-legal issues to determine the strengths and weaknesses of a case. LNRs are used to assist in preparing for settlement and are completed by a Legal Nurse Consultant Certified (LNCC) or Certified Legal Nurse Consultant (CLNC).