Chart Analysis & Data Abstraction

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