MRC is well-equipped to:

• Assist insurers and providers seeking to accurately reflect the health status of their members
• Provide Medicaid and Medicare RACs with qualified nurse support for review audits
• Ensure that complete and accurate payment for members’ care is received

MRC nurses are available to review and analyze patient member charts, including:

• Data abstraction to capture key information as defined by the client
• Medical necessity review audit to determine appropriateness of care provided and to identify potential improper payments
• Pre-audit review of healthcare provider charts to ensure practices are consistent with CMS or private health plan requirements

When on-site chart review and analysis is requested, MRC nurses are available to travel to providers’ offices or other remote locations.

MRC’s nurse reviewers and analysts offer clients the advantage of advanced medical knowledge distilled into a customized work product. Nurses are recruited from wide-ranging fields of specialization and average 10 years’ clinical experience.

When our clients use WiseFiles™ in conjunction with our chart analysis services, they benefit from time and cost savings. Medical record reviews and analyses are securely protected and available online in real time. Significant references in the analyses may be hyperlinked to the actual documents, allowing simultaneous viewing of the charts with the work product.