Workers’ Comp, No-Fault & Personal Injury Practice Optimization

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A Comprehensive 3-Month Rebuild of Your PI, No-Fault (PIP) & Workers’ Comp Operations with Full Staff Training and Process Reinforcement

Target Audience:
Practices treating personal injury, no-fault motor vehicle accidents, and workers’ compensation cases—especially spine, pain management, neurosurgery, orthopedics, podiatry, and urgent care groups.

Overview:
PI, No-Fault, and WC cases are among the highest-value payers—but they are also the easiest to lose due to poor workflows, sloppy documentation, missed deadlines, and improper communication. Fixing this requires more than an audit. It requires consistent training, disciplined process management, and ongoing governance.

This is why Ark Advisory Group delivers this service as a 90-day structured engagement. Over 12 weeks, we rebuild your entire PI/WC/NF workflow from intake through arbitration, train your staff, monitor compliance, and reinforce behaviors until the new process becomes operational muscle memory.

If you want durable, predictable results—instead of temporary improvements—this is the solution.

A Comprehensive 3-Month Rebuild of Your PI, No-Fault (PIP) & Workers’ Comp Operations with Full Staff Training and Process Reinforcement

Target Audience:
Practices treating personal injury, no-fault motor vehicle accidents, and workers’ compensation cases—especially spine, pain management, neurosurgery, orthopedics, podiatry, and urgent care groups.

Overview:
PI, No-Fault, and WC cases are among the highest-value payers—but they are also the easiest to lose due to poor workflows, sloppy documentation, missed deadlines, and improper communication. Fixing this requires more than an audit. It requires consistent training, disciplined process management, and ongoing governance.

This is why Ark Advisory Group delivers this service as a 90-day structured engagement. Over 12 weeks, we rebuild your entire PI/WC/NF workflow from intake through arbitration, train your staff, monitor compliance, and reinforce behaviors until the new process becomes operational muscle memory.

If you want durable, predictable results—instead of temporary improvements—this is the solution.

What’s Included (Deliverables)

1. Intake Workflow Redesign & Staff Training

We rebuild and retrain your entire front-end system.

  • Updated intake scripts, forms, and documentation workflows

  • Coverage verification (NJ PIP, NY No-Fault, WC)

  • Employer validation, attorney info capture, police report workflows

  • 1:1 and group training for front desk, auth team, and coordinators

  • Monitoring for accuracy, completeness, and adherence

2. Compliance & Timely Filing Infrastructure

We engineer a compliance-safe, audit-ready system.

  • State-specific filing timelines

  • Mandatory form tracking (C-4s, MG-2s, PR-2s, APNs, etc.)

  • Lien/AOB workflows

  • Documentation and disclosure protocols

  • Monthly compliance checks

3. Documentation, EMR Templates & Coding Integrity

Ensure each case is medically defensible and financially sound.

  • EMR templates for PI/WC/NF visits

  • Documentation alignment to mechanism of injury

  • E&M and procedural coding accuracy

  • Disability, work status, and MMI documentation

  • Weekly documentation audits with staff feedback

4. Denials, Arbitration & Appeal Optimization

We recover revenue many practices didn’t know they lost.

  • Denial pattern identification

  • Appeal templates (medical + legal)

  • Arbitration preparation (NJ PIP, NY NF)

  • Payout variance & interest calculation workflow

  • Ongoing monthly claims review

5. Attorney Collaboration Framework

We formalize communication with law firms.

  • Standard record sets

  • Narrative report templates

  • IME coordination workflows

  • Attorney communication scripts

  • Monthly joint-case review calls (optional)

6. Governance, Process Reinforcement & Monitoring (90 Days)

The true value—consistent reinforcement until the system sticks.

  • Weekly workflow compliance checks

  • Bi-weekly staff coaching meetings

  • Monthly leadership summary + analytics

  • Real-time escalation support

  • Continuous KPI monitoring

7. PI/WC/NF Performance Dashboard

A live operational performance tool.

  • Aging dashboards

  • Settlement-to-charge ratios

  • Denial trends

  • Payer-specific recovery analytics

  • Case velocity metrics

Timeline — 90 Days (3-Month Commitment)

Phase 1: Weeks 1–4

Assessment, workflow design, initial training, documentation fixes.

Phase 2: Weeks 5–8

Full implementation, denials cleanup, staff reinforcement.

Phase 3: Weeks 9–12

Governance, coaching, KPI tracking, arbitration prep, final optimization.