Chiropractic peer review, independent medical evaluations, utilization review, SIU fraud support, and expert testimony for health insurers, auto carriers, disability carriers, workers' compensation insurers, and personal injury attorneys.
Reports and testimony are formatted to the standard each referring party works against.
Medical necessity and utilization review of chiropractic care, pre- and post-payment claim review, and clinical support for payment integrity teams.
Causation and treatment-reasonableness review for bodily injury and PIP claims, delivered fast enough to inform adjuster decisions.
Functional capacity opinions and medical necessity review for private short- and long-term disability claims.
Impairment ratings under the AMA Guides and utilization review for open files, aligned to state fee-schedule requirements.
Independent review of the treatment record ahead of deposition or trial, plus testimony, for plaintiff and defense counsel.
Thirty-one years of treating patients and billing payers means Dr. Moses reads a chiropractic chart the way it was actually written, and can tell care that's supported from care that's padded. Health plans, auto, disability, and workers' comp carriers use him for single cases or as a standing panel reviewer.
Whether you're building a case or stress-testing the other side's medical record, you need a chiropractic opinion that's substantiated, defensible under cross, and back before your deadline — not three weeks after it.
"An IME is only useful if it would say the same thing regardless of who ordered it. That's the only opinion worth putting my license behind."
Dr. Moses has practiced chiropractic care for 31 years and has completed over 100 peer reviews and independent medical evaluations over that time. He has also successfully defended two payer post-payment audits of his own practice, paying less than 3% of the requested refund in one and refunding nothing in the other. Having been on the receiving end of a payer audit, he knows what defensible chiropractic documentation looks like, and what it doesn't, which is exactly what carriers and attorneys need from a reviewer.
He's retained by health insurers, auto carriers, disability carriers, workers' compensation insurers, and personal injury attorneys, and applies the same standard of evidence regardless of which side requested the review.
Reports are structured to match the standard each claim type is actually evaluated against.
Medical necessity, frequency and duration of care, and maintenance-versus-active treatment review for commercial health plan claims.
Causation, pre-existing condition analysis, treatment reasonableness, and maximum medical improvement determinations for motor vehicle and premises claims.
Functional capacity opinions and medical necessity review for short- and long-term disability claims.
Impairment ratings under the AMA Guides, work restriction opinions, and utilization review for open work comp files.
SIU and investigation support for carriers pursuing unnecessary, excessive, or fraudulent chiropractic billing.
Dr. Moses is available for deposition and trial testimony connected to his own reviews, and for retention as a testifying chiropractic expert more broadly.
Flat fees for individual cases. Reports are delivered as a signed PDF with supporting citations.
Desk review of medical records, imaging reports, and prior treatment history. Written opinion on causation, medical necessity, and MMI status.
Physical examination plus full written report. Includes travel within the metro service area; out-of-area scheduling available on request.
Chart review, coding and billing pattern analysis, and standard-of-care opinions to support carrier SIU teams investigating unnecessary, excessive, or fraudulent chiropractic billing.
Deposition preparation, deposition attendance, and trial testimony related to a completed review or evaluation. See expert witness availability for scheduling and experience.
For health plans, insurance carriers, and third-party administrators sending recurring case volume, we offer contracted account pricing with standing turnaround SLAs, invoicing terms, and a dedicated intake line.
Also available to chiropractic practices: post-payment audit and abuse-of-services defense consulting, $350/hr with a 3-hour minimum ($1,050 retainer), informed by Dr. Moses's own successful defense of two post-payment audits (under 3% of the requested refund paid in one, nothing refunded in the other). Dr. Moses never works both sides of the same matter, and conflicts are checked before any engagement is accepted. Pay retainer
For individual cases from attorneys, adjusters, and claims staff. Payment is due at intake; records are requested after payment is confirmed.
Payments are processed securely by Stripe. Case records are handled under a HIPAA-compliant intake process and are never attached to a payment record.
A peer review is a desk review of existing records with no exam. An IME includes an in-person physical examination in addition to the records review. Which one fits depends on what the claim requires.
Yes. Dr. Moses provides chiropractic medical necessity and utilization review, pre- and post-payment claim review, and SIU support for commercial health plans and their payment integrity vendors, on a per-case or contracted basis.
Health plans, auto, disability, and workers' comp carriers, third-party administrators, case managers, adjusters, and plaintiff and defense attorneys. The same intake process and report standard applies regardless of who orders it.
No. Every report applies the same evidentiary standard and is not written to favor the referring party. If the records don't support a position, the report says so.
Yes, for reviews and evaluations Dr. Moses has personally completed. Litigation support is billed separately from the original review fee.
In most cases, yes — reach out with the case details and jurisdiction and Dr. Moses can confirm availability and scope before retention.