Services
We’re a consulting firm that provides expertise in both medical
and non-medical areas, including legal consulting and government compliance solutions.
Our services include medical evaluations, record and bill reviews,
assessments, and reports for states, counties, municipalities, corporations, insurance agencies, first-party insurers, government agencies, and third-party administrators.
- Product liability
- Federal insurance
- Workers; compensation claims
- No-fault claims
- Disability evaluations
- Accident injury assessments
- Group health and benefit programs
At Crosspoint Evaluations, our mission is to provide accurate, comprehensive, and high-quality independent medical assessments. We collaborate with top-tier medical professionals who are recognized experts in their fields, ensuring reliable evaluations backed by industry expertise.
Leveraging our deep legal market knowledge and cutting-edge technology, we offer a full spectrum of medical-legal services in a cost-effective and efficient manner. Our expert panel and experienced staff utilize state-of-the-art systems to streamline processes and deliver exceptional service.
We work closely with clients to develop customized solutions that meet specific industry requirements and regulations. Our services cover:
Excellence in Independent Medical Assessments
Quality Reports
Crosspoint Evaluations executes its medical assessments and reports
in an accurate, honest, objective, comprehensive, and timely manner.
This is ensured through a managed review and quality assurance process.
Our independent expert written opinions and testimonies reflect a breadth of both medical and legal competencies to bring disputed or litigated claims to resolution.
Personalized Service
At Crosspoint Evaluations, we prioritize a client-focused approach, ensuring seamless coordination, responsive communication, and tailored support throughout the evaluation process.
Qualified Board-Certified Physicians
Our evaluations are conducted by experienced, board-certified physicians across multiple specialties, providing credible and well-substantiated medical opinions.
Independent Medical Evaluations
We deliver thorough, unbiased medical assessments that support fair and informed decision-making in legal and insurance matters.
Functional & Physical
Capacity Evaluations
Our experts' functional and physical capacity evaluations utilize best practice testing protocols, administering an objective and extensive battery of performance tests that assess a comprehensive list of factors to determine an individual's ability for work, ability to perform specific job tasks, and physical restrictions for work and daily activities.
Crosspoint Evaluations' services are utilized by government agencies, employers, insurance companies, attorneys, and vocational experts to determine levels of functional and physical ability for an individual to safely return to work and perform essential job functions.
Medical Record Reviews
Crosspoint Evaluations' medical record review services are designed to provide thorough and objective assessments. We respond to our clients' needs by reviewing medical decisions made by insurance companies or employers regarding claims determinations.
Our experienced staff carefully reviews each case and selects experts from our extensive panel. These experts determine the necessary services to assess work capacity, causality, medical treatment necessity, cosmetic treatment, surgery, facility or outpatient length of stay, reasonableness of care, preventive care options, and patient care management.
Our record review process involves direct communication with governmental agencies, large health and casualty insurers, and benefits administrators. We adhere to rigorous federal, state, and local regulatory requirements to ensure the integrity, accuracy, and credibility of our reports.
Peer Reviews
Crosspoint Evaluations provides evidence-based peer reviews by an experienced panel of American Board of Medical Specialty-certified experts from all medical specialties. In order to determine compliance
with accepted healthcare standards, our expert panelists evaluate the work performed by their colleagues in examining and assessing the medical and non-medical documentation and reports provided.
Our expert opinions address factors of causality, impairment, functionality, restrictions, and limitations, the severity of diagnosis, the necessity of medical services and care, reasonableness, and appropriateness of medical treatment, mitigating conditions, treatment recommendations.
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Medical & Physician
Bill Review
Crosspoint Evaluations offers comprehensive bill review services for all in-network and out-of-network bills, including PPO management, medical bill re-pricing, line-item review, professional nurse review, and automated adjudication.
Our team of physicians, nurses, and coding experts uses advanced electronic data exchanges and automated web-based applications to ensure accurate and consistent bill reviews. This process helps identify excessive, inappropriate, inaccurate, and duplicate charges, ultimately improving claims management, enhancing bill review accuracy, and delivering substantial cost savings to our clients.
Workers' Compensations Services
Our panel of experts include Qualified Medical Evaluators experienced in providing QMEs and AMEs. We provide timely evaluations for early intervention, medical request certification, bill review, medical treatment plans and return-to-work programs which advocate care for injured employees and result in improvements in clients' claims and risk management programs.
