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Peer Review: Why You Are Losing Care

TASA ID: 2379

 I have been performing peer and utilization reviews for a multitude of carriers for many years now, and I can tell you that, first off, it is not personal.  It is policy.  Insurance companies need some way to “manage care,” and utilization reviews are a part of that management.  They need to know if a bill is their responsibility or not.  Is the treatment for an acute spell of care?  An exacerbation?  Is it effective, or just going on and on with no end in sight?  Are there other, more effective means of treating the presenting condition?  

Being an Expert Witness Part 2: In the Courtroom

TASA ID: 3587

I have worked as an expert witness for many years, providing software, user interface, mobile, and human factors expertise, primarily for patent cases. Recently, I was involved in a patent case that actually went to trial (most are settled out of court), where I testified in court.  This series of articles is about that experience. In Part 1, I introduced the case and discussed our legal team and the routine during the trial. This article will discuss some experiences and impressions from the trial itself.
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