Priya Sodha
Licensed Physiotherapist | Associate Medical Writer Specializing in Medical Necessity and Peer Reviews for U.S. Healthcare | MVA Case Expert
Bengaluru
10+ years of work experience
Jan 20251 yr 10 mosPresent
Bengaluru, Karnataka, India
Apr 20195 yrs 9 mosDec 2024
Thane, Maharashtra, India
Medical Necessity Reporting: Specialize in preparing detailed medical necessity reports for physicians, focusing on cases involving musculoskeletal injuries and rehabilitation needs. Regularly analyze patient histories, treatment records, and independent medical examination (IME) reports to provide clear, evidence-based recommendations.
Peer Review and Documentation: Conduct thorough peer reviews, evaluating documentation and clinical findings to assess treatment plans for injuries sustained in motor vehicle accidents (MVAs). Successfully advocate for necessary treatments, including physical therapy, pain management medications, and other conservative therapies.
Case Summaries and Addendums: Draft comprehensive addendums defending the medical necessity of prescribed treatments. Skilled in categorizing and summarizing pertinent case details, ensuring reports are well-structured for clarity and compliance with medical standards.
Project Highlights:
Spearheaded initiatives to streamline report structuring, reducing report preparation time by 15%.
Successfully defended numerous cases where medical necessity was challenged, ensuring clients received justified, necessary treatments.
Collaborated with physicians and medical staff to create a repository of common rebuttals, enhancing the team’s ability to respond effectively to peer review denials.
Data Analysis and Compliance: Leverage expertise in data analysis to interpret medical facts and clinical data, ensuring adherence to healthcare guidelines and standards. Developed methods to identify key information quickly, improving the team’s turnaround on complex cases.
Nov 20186 mosApr 2019
Thane, Maharashtra, India
Freelance physiotherapy consultations in collaboration with various doctors across hospitals
Jul 20171 yr 5 mosNov 2018
Mumbai, Maharashtra, India
Designing unique programs for children's fitness aged 2-13 years
Assessing children's overall fitness with comprehensive orthopedic and neurological evaluation
Designing customized training interventions based on assessments
Providing detailed reports to parents and teachers
Conducting various outdoor fitness activities
May 20161 yr 2 mosJun 2017
Mumbai, Maharashtra, India
Reviewing patient's files and translating them into universal codes for insurance companies
Ensuring correct code usage
Coding diagnosis and treatments
Keeping up-to-date knowledge of insurance rules and policies
Priya’s AI Stack
Education
Bachelor, Physiotherapy
DPO’s NETT College of Physiotherapy
20114 yrs2015
Science
Vartak college
20102010
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