Zeus New Personal Injury System and
ClinicPro Partnership Welcomes You!
Are you aware that the guidelines for processing private health insurance and
Medicare claims differ drastically from personal injury and auto accident
claims? In fact, the data required is so different that you need two
different electronic health records.
We've made it easy for you. We proudly
announce our partner program with ClinicPro Software to bring you the Zeusclaim
personal injury record system to counter Colossus. Now available as an add-on to
ClinicPro. We empower our practitioners who practice in personal
injury to collect maximum reimbursement because your documentation meets the
auto insurance company's expectations.
You've gone to great lengths to practice
with high integrity. You comply with documentation, billing & coding, medical
necessity and utilize an electronic health record (EMR) system. This works fine
on your private insurance patients, HMO's, PPO's and government Center For
Medicare service guides. Unfortunately, electronic health record systems are
designed for private insurance and Medicare Center For Service Guidelines.
Standard record systems do not convey sufficient data to exchange into a
personal injury, Colossus claim.
Too often, in a personal injury claim, physicians must defend against adjusters
and IME's who often disagree about:
The types of injuries
The degree of impairment
When clinical findings are not obvious
When injuries are difficult to see with
the naked eye
When low speed impacts do not produce
property damage
When there have been prior accidents or
pre-existing conditions
Insurers created the following "Unfair
Claims Acts" designed to lower claim valuation and increase their profits:
Business Process Improvement
Claim Core Process Redesign
Dragging the Trauma Severity Line
Reduced Severity Non-Rate Action Plan
Benchmark Tuning Bias
Zeusclaim empowers you to prevent unfair
claims acts.
The insurance companies hired consultants who created a "procedural intelligence
code" system to make settlement valuation based on the following DECISION
POINTS:
Value Drivers
Case Maximizers
Prolonged Modifiers
Injury Severity Points
Severity Drivers
Liability Drivers
Additional Increase Multipliers
Standard Multipliers
Point to Dollar Translation Percentage
Multipliers
The insurance company's use a formula to translate "Decision Points" into dollar
value based on each insurers own rate. Their Decision Points are intellectual
property and they are not readily available to the public. This results in the
physician missing the documentation of the Decision Points and missing Decision
Points = missing settlement valuation.
How A Colossus P.I. Injury Case Settlement
Value Is Determined.
Decision Points Translate Into Settlement Valuation Based On: The Point To
Dollar Translation Percentage Multiplier Formula. When the Decision Points
are missing in the medical records, the dollar value that would have been
assigned to them is also missing. This allows insurance companies to dispute,
deny, delay and defend their decision to cut fees and make unfair, unrealistic
settlement valuations. The physician can not document the Decision Points
if he/she is not aware of them.
That is where Zeusclaim comes in.
Zeusclaim is a specific personal injury medical evaluation EMR exam and soap
note system that locates decision points so they will no longer erroneously be
omitted from the medical file. Evaluators often disagree. To offset such
varying medical opinions, establish the preponderance of the evidence and win
the "Greater Weight" of the Evidence challenges, today's physician must utilize
the "Gold Standards" and "Quality Systems" of assessment as listed below to
counter Colossus.
Zeusclaim is a personal injury EMR System you can add-on to your current EMR to
evaluate injury claims according to the Gold Standards and Quality Systems of
assessment as:
AMA Guidelines (5th & 6th Editions)
Injury Model
Diagnostic Related Estimates Of Injury
Diagnostic Based Injuries
Specific Disorders Of the Spine
Spine Impairment Summary
Abbreviated Injury Scale
Quality Systems Of Control
To
win the Great Weight of the evidence challenges, the medical documentation must
meet court approved evidentiary burdens of proof to establish that soft tissue
injuries meet serious injury thresholds and utilize the above Gold Standards in
the Electronic Medical Record documentation.
Exchanging data into a Colossus claim is virtually impossible to do without a
personal injury specific EMR System designed exclusively for this purpose.
Zeusclaim provides this and is available through ClinicPro as an add-on to your
EMR system.
We host live webinars weekly and have a series of on-line training videos and
"Quick-Start" manual to demonstrate how Zeusclaim documents the medical Decision
Points that are missing in a private insurer, Center For Medicare Service center
based system. Interested physicians may contact us for more information,
including a screen share to see the Zeusclaim personal injury EMR System in a
live demo.