Medreview.us

About Us Physician Approved Payment Integrity MedReview Inc.

WEBOur approach to payment integrity is unique within the industry because we take great care to ensure that all denials are reviewed by a board-certified physician in the appropriate …

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URL: https://www.medreview.us/about/

Physician Approved Payment Integrity Solutions MedReview

WEBAt MedReview, our highly trained physicians representing every medical specialty apply their skills in working with our registered nurses and certified coders to identify …

Category: Medical Go Health

Payment Integrity Solutions for Health Plans MedReview Inc.

WEBHolding healthcare to the highest standards of quality and integrity. MedReview maintains a strong relationship with many of the best-known insurance companies around the …

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Healthcare Insights MedReview Inc.

WEBCreated in 1992 in response to the AIDs crisis, the Food and Drug Administration (FDA) accelerated approval pathway is intended for drugs that address unmet medical needs. …

Category: Food, Medical Go Health

Independent Review MedReview Inc.

WEBAs a URAC-accredited IRO with a track record for integrity, consistency and accuracy, MedReview brings added strength to the independent review process, ensuring health …

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Payment Integrity Services MedReview Inc.

WEBOur Payment Integrity solutions, DRG Reviews/Clinical Validation, Hospital Bill Audits, and Readmission Reviews maximize our client savings.

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Utilization Management Services MedReview Inc.

WEBWith URAC accreditation for Health Utilization Management (UM), MedReview provides payors with an assortment of solutions to ensure members receive the highest quality …

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Top 5 Ways Smaller Health Plans Can Realize Big Savings

WEBOne of the most serious challenges faced by smaller health plans is a lack of advanced analytical capabilities supported by artificial intelligence. While change …

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DRG Coding Reviews and Clinical Validation MedReview Inc.

WEBThe only way for payors to verify claims and render accurate payments is to validate DRG coding and conduct detailed clinical reviews comparing claims to medical records. To …

Category: Medical Go Health

Hospital Bill Audits MedReview Inc.

WEBHealth plan policies to ensure charges meet policy guidelines. Over 2.5 million claims reviewed. 0. At the forefront of the latest advances in artificial intelligence (AI), …

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Quality Management Services MedReview Inc.

WEBHealth plans are moving with an increasing sense of urgency toward adopting alternative payment models based on pay-for-performance metrics. That means more payors and …

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Sepsis Coding Issues Support Enhanced Payment Integrity

WEBIn the largest study of Medicare sepsis data ever conducted, the U.S. Department of Health and Human Services (HHS) estimated the 2019 total cost of …

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Case Management MedReview Inc.

WEBOur dedicated and highly trained case managers identify and coordinate a broad range of services designed to: Optimize the health status and quality of life of the patient. Make …

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Inpatient Prior Authorization and Concurrent Review

WEBMedReview conducts Prior Authorization for inpatient elective hospital admissions, inpatient psychiatric admissions, skilled nursing facility admissions and acute inpatient …

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Americans Paying Billions for Drugs That Don’t Work

WEBDrugs evaluated using surrogate endpoints accounted for $40.3 billion (59%) of CMS spending. For the 15 unconverted drugs for which spending data were available, …

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MedReview to present “Best Practices in Leveraging Clinical …

WEBDeploying successful clinical validation is a challenging–yet critical–endeavor for health insurance providers. In this session, learn how a plan with 10K members went …

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Cardiologist Michael J. Menen, MD, Joins MedReview as Chief …

WEBNEW YORK, N.Y. – August 23, 2022 – – MedReview, Inc., a leading provider of payment integrity, utilization management and quality surveillance services, is pleased to …

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MedReview’s Data Mining highlighted in NHCAA SmartBrief

WEBMEDIA CONTACT: Tracey Osentoski. 248-977-0940. Email: [email protected]. Categories: In the News. MedReview's Kathy Gonzales and P3 …

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Prior Authorization MedReview Inc.

WEBVerify the need for ambulatory care prior to treatment. MedReview’s Prior Authorization program is designed to ensure that all tests and procedures are medically necessary …

Category: Medical Go Health

National Health Care Anti-Fraud Association (NHCAA) Training …

WEBA conservative estimate is 3% of total health care expenditures, while some government agencies place the loss as high as 10% of our annual health outlay, which …

Category: Health Go Health

Healthcare Payment & Revenue Integrity Congress (HPRI) South …

WEBMedReview is focusing on payment integrity issues and initiatives at the HPRI South conference in Miami, FL, February 7-8, 2024. Join the team in connecting …

Category: Health Go Health

National Health Care Anti-Fraud Association (NHCAA) 2023 …

WEBDate/Time: Tues., November 7, 2023 | 3:30-4:30 PM CST. Location: Reunion Ballroom BC. Presenter: Michael Menen, MD, Chief Medical Officer, …

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