Specialty-matched reviewers for chiropractic, physical therapy, occupational therapy, acupuncture, and other conservative care. Serving workers' compensation and commercial insurance claims, and the IROs and review organizations that handle them.
Every opinion is sourced to what the file actually documents. No assumptions, no boilerplate.
Independent review of chiropractic and conservative care in workers' compensation claims, applying the treatment guidelines and rules of the claim's jurisdiction.
A records-based review after care has been rendered, weighing the treating notes and imaging against the necessity of the completed treatment.
A direct clinical discussion between our reviewer and the treating or requesting provider to clarify the record before a determination.
Medical necessity review of chiropractic and conservative care for commercial health plans, cited to the criteria the plan specifies.
Codes checked line by line against the treatment notes, date by date.
In-person IMEs in Lakeland and the surrounding Polk County area, with a written report addressing the questions referred.
Most panels are built around physician specialties. Ours is built for the disciplines they struggle to cover. Every case goes to a reviewer licensed in the same profession as the treating provider.
Spinal and extremity manipulation, therapeutic exercise, modalities, and plan-of-care necessity.
Evaluations, visit frequency and duration, therapeutic procedures, and functional progress.
ADL and work-capacity goals, hand therapy, splinting, and episode-of-care length.
Acupuncture and related needling services, visit counts, and documented response to care.
Need a specialty not listed? Tell us the case mix and volume and we will confirm coverage before you send a file.
We work as a reviewer panel partner. You keep the client relationship and the determination process. We supply credentialed, specialty-matched reviewers who work to your rules.
Primary-source license verification, OIG and SAM exclusion checks, malpractice coverage, and signed reviewer agreements for every reviewer.
Each reviewer signs a per-case conflict attestation before opening the records. Pay is the same whatever the determination.
Deadlines set to your contract, including expedited cases, with escalation before a deadline is at risk.
Reviews cite the criteria you specify, such as ODG, InterQual, or plan policy, and answer every question in your format.
Business associate agreements with clients and subcontractor agreements with every reviewer. PHI stays in secure systems.
Monthly audits of completed reviews for timeliness, completeness, and rationale, with feedback and corrective action.
Chiropractic and other conservative care are often reviewed by clinicians outside the specialty. We built Aligned Medical so these claims are reviewed by people who practice the work.
Every case goes to a licensed reviewer in the treating provider's own discipline. Chiropractic files go to chiropractors. Not a generalist working outside their lane.
Reports delivered inside your contract deadlines and any state deadlines that apply, so the review supports your decision instead of holding it up.
Clear, evidence-based opinions fully sourced to the file. Every case is conflict-checked, and reviewer pay never depends on the outcome.
Each case is screened for conflicts and matched to a reviewer in the treating provider's discipline.
Every page of the records, imaging, and billing is read before a single line of the report is written.
A clear opinion on the questions asked, cited to the applicable guidelines and sourced directly to the file.
The reviewer remains available for a written addendum or a peer-to-peer discussion to clarify the findings.
Conservative care is one of the fastest growing parts of healthcare, yet it remains one of the least understood in the claims space. We believe chiropractic and conservative care claims are best reviewed by clinicians who practice those disciplines firsthand.
Aligned Medical is led by a practicing chiropractic physician with 5+ years of clinical practice in a multidisciplinary outpatient setting. Every reviewer reads records the way good clinicians want their own work reviewed: every page read, every opinion sourced to the file, no boilerplate.
Cases are matched to a reviewer in the treating provider's specialty and license type.
Peer review and IMEs for chiropractic and conservative care in workers' compensation claims.
Specialty-matched conservative care review when your volume spikes.
Independent medical necessity review of chiropractic and conservative care claims.
Credentialed reviewers on demand, delivered in your format.
Independent clinical eyes on questioned billing and treatment in conservative care.
When your caseload spikes or a reviewer is conflicted out, Aligned Medical provides credentialed reviewers for chiropractic, PT, OT, acupuncture, and other conservative care specialties. Conflict-checked, deadline-driven, and formatted to your template.
Talk to us about reviewers →Tell us the claim type and the discipline involved, and we'll confirm reviewer fit and turnaround before you send the file.
We'll be in touch within one business day.