We provide medical expertise designed to help improve claim outcomes and accuracy. We have a dedicated staff of experienced nurses, board certified physicians and certified professional coders.
Dr. Jason S. Lipetz, M.D.Chief of Spine Medicine Department of Physical Medicine and Rehabilitation Northwell Health – Licensed in NJ and NY
Prior to founding Long Island Spine Rehabilitation Medicine, Dr. Lipetz served as the Director of the Center for Spine Rehabilitation for the North Shore Long Island Jewish healthcare system from 1999-2006. Dr. Lipetz received his specialized and interventional spine medicine training during a fellowship year at the internationally recognized Penn Spine Center of the Hospital of the University of Pennsylvania. After receiving his medical degree with Alpha Omega Alpha honors from Columbia University’s College of Physicians and Surgeons, Dr. Lipetz completed his residency in Physical Medicine and Rehabilitation at the prestigious Kessler Institute for Rehabilitation and the University of Medicine and Dentistry of New Jersey. He was elected and served as Academic Chief Resident during his senior year of residency. Dr. Lipetz received his bachelors degree in biology with summa cum laude honors through the Presidential Honors Program of the State University of New York at Buffalo.
Dr. Lipetz is uniquely triple board certified in Physical Medicine & Rehabilitation, Pain Management, and Electrodiagnostic Medicine.
URAC AccreditationAs a URAC accredited company, we collaborate with over 16,000 trusted medical providers to create solutions designed to reduce medical losses.
Our experienced, in-house nursing staff is here to assist with your clinical review needs. Our nurses provide a cost-effective alternative to keeping your own nurses on staff.
Nurse Review
Ask the Nurse
Bill Audit
Bills requiring specialized review can be routed to our nursing staff. Our nurses examine the bill and medical records and provide appropriate feedback on causality, treatment relatedness, duration and medical necessity.
Our nurses are available by phone to answer any questions you may have. Comprehensive case reviews are available.
Large bills represent a significant cost and investment of time to review. Our nurses conduct a line by line audit for accuracy of the charges.
We oversee a national network of independent physicians who provide medical professional services. Representing a broad range of specialties, these clinicians are available to review medical documentation, and /or conduct independent medical examinations (IMEs), as needed.
Physician Review
Peer Review
Independent Medical Exam (IME)
Our Physician panel helps when a physician’s opinion is requested to address treatment relatedness, duration and medical necessity.
We provide physicians of the same specialty to conduct a peer review of medical documentation and provide a case summary report. Physicians evaluate causality, treatment relatedness and medical necessity.
We offer a streamlined referral process to a national network of board-certified, credentialed specialists. Clients simply submit a request and we handle the rest.
Certified professional coders review codes for treatment and level of service for accuracy of the bill.
We’re here to answer billing inquiries, investigate issues and support insurers in resolving disputes.
