Group Health
MLS understands what it takes to be a successful IRO in the Group Health industry- we ensure timely, accurate and evidence-based reviews from a nationwide, specialized network of Physician Reviewers and other allied health professionals.
Our federal and state-level Peer Reviews are conducted by board-certified, actively practicing physicians versed in the latest medical research and current guidelines for medical care.
As a URAC-accredited Independent Review Organization, we maintain a commitment to promoting healthcare quality. We offer independent medical review for a variety of areas, including:
- Medical Necessity
- Experimental/ Investigational
- Standard of Care
- Plan Language Review
- Length of Stay
- Quality of Care/ Utilization, and more.
Disability Reviews
Our IME and Peer Review Disability Reviews focus on function and an employee’s ability to return to work.
We offer a full range of disability review services, including:
- Independent Medical Exams (IME) conducted across the country
- Imaging Studies to assist in the IME process. Our board certified radiologists and neuroradiologists specialize in: MRI, CT & Bone Scan, Ultrasound, X-Ray, Arthrogram & Mammogram
- Functional Capacity Evaluations (FCE) performed by licensed therapists
- FMLA Assessments, providing numerous medical assessments for each step of the FMLA leave process- from the Clarification Level up to the 3rd Opinion
- Retirement Disability Reviews
Workers' Compensation
Our nationwide network of licensed Physician Reviewers ensure you have everything you need to confidently assess the clinical aspects of a workers’ compensation claim. For Independent Medical Examinations, we work with insurance carriers, TPAs, and self-funded employers to deliver an IME product that meets unique and specific service standards.
We are equipped to perform a wide range of Workers' Compensation services including:
- Utilization Reviews
- Independent Medical Exams (IME)
- Peer Reviews
- Functional Capacity Evaluations (FCE)
- Impairment Ratings
Evidence-Based Medicine: An Overview
You frequently see the phrase "evidence-based medicine" in healthcare, but what does it mean? The MLS blog offers an overview of evidence-based medicine and its importance in independent medical review.