MedReview Inc., a physician-led payment integrity company, specializes in thorough claim reviews and audits to ensure accurate billing. Leveraging advanced algorithms enriched by machine learning and clinical data, MedReview offers comprehensive services including DRG validations, hospital bill audits, and quality management, resulting in significant savings for clients while maintaining the lowest appeal overturn rate in the industry.
The Clinical Review Medical Director is responsible for reviewing hospital medical records to ensure diagnoses were billed appropriately and are supported in the medical record, producing a concise summary of the clinical course, and composing a rationale consistent with guidelines, literature, client policy, and standard of care for any adverse finding.
MedReview Inc., a physician-led payment integrity company, specializes in thorough claim reviews and audits to ensure accurate billing. Leveraging advanced algorithms enriched by machine learning and clinical data, MedReview offers comprehensive services including DRG validations, hospital bill audits, and quality management, resulting in significant savings for clients while maintaining the lowest appeal overturn rate in the industry.
Humana