Mariano Medical was founded to support the individual's right for appropriate pain management while guarding against misuse, abuse and addiction. We guide HCOs, attorneys, and insurers thru the pain/addiction landscape.
Our Services...
Policy and Guideline Development
Will assess the mission for each stakeholder on an individual basis. By employing evidence based resources and analytics, we will tailor policies and/or guidelines for opioid/ pain management utilization that meets the needs of the organization.
Commissioner's Medical Examinations (CME)
Disputes over workers' compensation benefits often center on an injured workers' medical diagnosis and care. The doctor who performs the CME is chosen by the Commissioner, and the impartial physician shall examine the employee and review the medical records submitted by the parties and issue a report. The injured person may provide previous medical records and other information so that the physician chosen has the fullest possible picture of the injury and the care the injured worker will need to recover.
Physicians who perform a CME have no doctor-patient relationship with the injured worker.
Respondent's Medical Examinations (RME/IME)
In many workers' compensation cases, insurance companies schedule an "independent medical examination" or "IME.
In Connecticut, some advocates have even recommended that these exams drop the term "independent" and use "respondent" instead, reflecting the fact that they're called for by the employer.
The examination rules are the same as for CME:
The impartial physician shall examine the employee and review the medical records submitted by the parties and issue a report. The injured person may provide previous medical records and other information so that the physician chosen has the fullest possible picture of the injury and the care the injured worker will need to recover.
Physicians who perform a RME/IME have no doctor-patient relationship with the injured worker.
Educational Tutorials
Educational tutorials are customized for the desired content. Areas of education include but not limited to:
- Opioids and Universal precautions in safe prescribing
- Risk evaluation and mitigation strategies
- Explaining monitoring techniques and how to interpret
- Genomic testing and interpretation concepts
- Patient centered opioid reduction
- Asking the right questions on the effectiveness of the opioid therapy
- The art of talking to your patient about opioids
Medical Case Review / Opinion Consultations
Will review medical records in its entirety and identify the strengths, problems and concerns from a medical perspective.
If applicable, we will answer any specific questions needed to determine if the case has merit to proceed.
Medical case reviews / opinions are also a valuable tool to gain insight and understanding into particular issues pertaining to an individual's medical care without the formal medical examination.
Medial Support Consultants
Complex medical malpractice cases will benefit from our medical support services. We are highly experienced healthcare providers that have the knowledge, expertise and desire to collaborate and educate with you to support your case from a medical standpoint. We are board certified in many specialties including Pain Management, Addiction Medicine and Anesthesiology. We have the experience in leading multi-specialty groups as well as extensive teaching experience. We will target a comprehensive understanding of the treatment protocols and omissions so you are prepared to address medical concerns as they transpire for optimal success and will help to prepare questioning for depositions and trial.
Medical Expert Consultants
Your case will be evaluated by a specialty matched (Pain Management, Addiction Medicine, Anesthesiology or Osteopathic Manual Medicine) physician expert. If the case is determined to have merit, the physician will write a report upon request, sign an affidavit, and will testify on you behalf.