Medical Functional Assessments has a "Let us do the leg work" policy. We take the administrative headaches away and will obtain authorization, schedule the patient, write appeals and follow-up as needed so you don't have to. This allows your staff to better allocate their time elsewhere. We will keep you abreast on any updates. If you have further questions, please contact our office.
Physicians:
- Download the referral form
- Fax or email to us: your most recent physicians report, patient demographics (including insurance and contact information) and the referral form.
- We will take care of the rest. If anything further is needed we will contact your office. We will follow up regularly and provide updates.
Insurance Carriers, Defense Attorneys or Case Managers:
- Download the referral form
- Fax or email to us: written authorization to perform the requested service, most recent physician report, patient demographics and the referral form.
- We will schedule the patient within 1-2 weeks. A complete report will submitted to all parties within 48 hours of evaluation.
Applicant Attorneys:
- Download the referral form
- Fax or email to us: referral form, patient demographics (including insurance and contact information) and the most recent physician report or AME/QME report.
- We will request for authorization from the insurance and follow up regularly. If anything further is needed we will contact your office.
On occasion we will perform a functional capacity evaluation or ergonomic evaluation on a lien basis. There must be supporting documentation that the requested service is warranted and needed to move the case forward. Please call our office to discuss further if you have any questions.
Employers:
- Call our office. We will get an understanding of what it is you need done and guide you in the right direction.
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