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Medical Claims Review Process Made Easy with a Medical Review Firm by Jan Merrifield





Article Author Biography
Medical Claims Review Process Made Easy with a Medical Review Firm by
Article Posted: 11/12/2013
Article Views: 401
Articles Written: 25
Word Count: 500
Article Votes: 0
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Medical Claims Review Process Made Easy with a Medical Review Firm


 
Small Business,Business News,Business
A reliable medical review company offers accurate medical claims review that enables insurance companies and attorneys to take better claims decisions more efficiently and quickly.

Medical claims review and processing becomes necessary for insurance companies to determine the medical necessity of services provided to a claimant. Accurate review of the pertinent medical records is the means of appraising the standards of medical care provided, and deciding whether it had been apt. Such review programs are very significant from the point of view of managing cost. Insurance companies and attorneys handling claims settlement cases for payers need to clearly understand medical context so that they can take better claims decisions more efficiently and quickly. These entities can surely benefit from reliable medical review services provided by a medical review company.

Structured Medical Review Services to Facilitate Claims Review

Time is an important and rare commodity in the present day business world. Structured medical record review services aim to make the claims review process efficient and quick. Experienced professionals comprising doctors, paramedics and documentation experts work round the clock to ensure timely completion of medical review. Here are the systematic steps involved in the review process:

  • The medical records are sorted chronologically and organized
  • Medical review team analyzes and reviews patient history
  • Abstracts or medical summaries are prepared quickly incorporating all required information

Professionals on the medical review team are knowledgeable in the confusing and complex medical terminology, abbreviations commonly used by physicians, and other issues in medical records. Their expertise in the job allows them to analyze treatment histories and abstract the relevant information within minimum time. They can also identify anomalies such as missing information and data that has been tampered with. Attorneys are provided easy access to accurate treatment summaries.

Major Benefits Ensured by Medical Record Review Services

Medical record review services are available for diverse medical specialties and diverse medical records.

  • Minimize/eliminate insurance fraud or abuse related overpayments and losses
  • Customized medical claims review and documentation according to client requirements
  • Legal professionals can enjoy increased leverage in negotiation and litigation proceedings because of better access to data
  • HIPAA compliant services ensuring maximum security for patient healthcare records
  • Excellent cost savings
  • Customized turnaround time

With dedicated medical review services, medical claims review and settlement is made easier and more efficient. The important consideration is of course the right service provider. A medical record review company that offers service on a 24/7 basis and can function as a virtual extension of the client’s office is the ideal choice.

Managed Outsource Solutions(MOS) provides end-to-end solutions that meet the medical record review needs of its clients. Medical review services are a great help for attorneys, medical-legal consultants, insurance staff, and case review firms. As a professional medical review company, we provide reviews of all healthcare circumstances for medical malpractice and personal injury cases.

Related Articles - medical review services, medical record review, case review, medical review company, medical case chronology,

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