Come be a part of the MedReview Inc. family, where we're shaping the future of payment integrity with a spirit of collaboration, fun, and diversity. At MedReview, we believe in accountability, integrity, and delivering results that truly make a difference. We're on the lookout for passionate individuals who resonate with our core values and want to make a positive impact on healthcare. As a physician-led organization, we offer a one-of-a-kind chance to join a vibrant team of clinical experts, data scientists, and more. Explore our career opportunities here: https://lnkd.in/eQX5EQgA #HealthcareJobs #Jobs #HealthcareWorkers #HealthcareProfessionals #MedicalJobs #HealthcareCareer #NursingJobs #HealthcareIndustry #MedicalCareers #MedicalStaff #HealthcareOpportunity #HealthcareWorkersNeeded #HealthcareHiring #HealthcareNetwork
MedReview Inc.
医院和医疗保健
New York,New York 10,673 位关注者
MedReview Inc. helps payors identify inaccurate medical claims to save millions in overpayments.
关于我们
MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our advanced algorithms are enriched by machine learning and decades of clinical and claims data, enabling us to target claims with the highest potential for inaccuracy and abuse. With a passion for ensuring claims fairly represent the care provided, MedReview offers pre- and post-pay billing audits with clinical reviews that save millions of dollars a year for our clients. Our full range of services include industry-leading solutions in payment integrity, utilization management and quality assurance.
- 网站
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https://www.medreview.us/
MedReview Inc.的外部链接
- 所属行业
- 医院和医疗保健
- 规模
- 201-500 人
- 总部
- New York,New York
- 类型
- 私人持股
- 创立
- 1974
- 领域
- Payment Integrity、DRG Validations、Hospital Bill Audits、Readmission Reviews、Utilization Management、Prior Authorizations、Inpatient/Concurrent Reviews、Case Management、Quality Management、HEDIS/QARR Reviews、Independent Reviews和Medicaid/Managed Care Assessments
地点
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主要
1 Seaport Plaza, 199 Water Street
27th Floor
US,New York,New York,10038
MedReview Inc.员工
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Rita Spano, BSN, RN
Clinical Validation
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Kevin McDonald
Chief Operating Officer with P&L, Strategy, Client Management, Sales & Product Expertise | Health Care Executive | Payment Integrity | Health Tech…
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Kathy Gonzales
Chief Strategy Officer at Medreview
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Yuriy Kapelnik
Database Administration Manager
动态
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Unlock hidden savings with MedReview’s expert data mining! Our team dives deep into claim sets, using over 500 custom-developed algorithms to pinpoint overpayments, reduce leakage, and recover missed funds. With industry veterans at the helm, we know just where to look to get you the results you need—fast! Find out how MedReview can help your organization build a dam to stop claim leakage: https://lnkd.in/dWw8yTsu #PaymentIntegrity #Healthcare #Payers #MedReview #PhysicianLed #DataMining
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There’s only one month left before the application deadline for MedReview’s NYCHSRO?Medical Coding Scholarship Fund! Through this fund, we will provide support to approximately 20 exceptional students embarking on their educational journey at CUNY School of Professional Studies in Fall 2024. These students, selected based on academic excellence and a demonstrated passion for medical coding auditing, will receive invaluable assistance to pursue their dreams in achieving the Certificate in Medical Coding. For more information or to get involved, visit: https://lnkd.in/eeF6Mt_h #PaymentIntegrity #Healthcare #CUNY #MedReview #PhysicianLed #CodingScholarship
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MedReview provides expert, independent medical billing audits, confirming that charges reflect actual care delivered. Our comprehensive reviews apply to claims paid on total billed charges, a percentage of billed charges, and cost outliers. Every claim is reviewed for compliance so that services are documented, ordered, and medically appropriate. Providers are given a clear, detailed report with the right to appeal, ensuring transparency at every step. Learn more: https://lnkd.in/gvhadY8d #MedReview #MedicalBillingAudit #CostOutlier #ChargeAudits #HealthcareCompliance
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Whether the result of human error or intentional abuse, erroneous medical bills increase healthcare costs for patients and siphon money away from health plans. MedReview’s board-certified physicians, registered nurses, and certified DRG coding experts—empowered by artificial intelligence (AI), machine learning (ML), and proprietary algorithms—identify billing errors with speed and accuracy. Through this, we maximize client savings while minimizing provider friction. Learn more: https://lnkd.in/dUFSSFdZ
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Sepsis upcoding, whether intentional or not, is costing the industry millions each year. Discover how MedReview’s expertise in DRG Coding Reviews can help identify and prevent upcoding, saving health plans valuable resources and ensuring compliance. Read our whitepaper, "Sepsis Upcoding Is Costing Health Plans a Fortune," to learn more: https://lnkd.in/e37mCVKx #WorldSepsisDay #SepsisAwareness #MedReview #Upcoding #HealthcareCompliance
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Healthcare Payment & Revenue Integrity Series (HPRI) West has come and gone! We enjoyed hearing from payors and providers alike about your biggest challenges and opportunities. If you missed it, we’ll be releasing an on-demand recording of our discussion on provider abrasion—highlighting how some friction can be beneficial—in the coming weeks. In the meantime, reach out to schedule a meeting if you’re interested in learning more about how MedReview can help you ensure payment integrity: https://lnkd.in/diZC9wBb #HPRIWest #MedReview #PaymentIntegrity #HealthcareInnovation
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Sepsis is a life-threatening condition that affects millions every year. At MedReview, we are committed to enhancing the accuracy of sepsis diagnosis and treatment through our DRG Coding Reviews and Clinical Validation services. Accurate coding not only ensures compliance but also safeguards both health plans and patients from unnecessary costs. By focusing on precision and quality, we help healthcare providers deliver better outcomes and improve patient care. On this important day, let’s work together to raise awareness and make a difference in the fight against sepsis. #WorldSepsisDay #SepsisAwareness #MedReview #HealthcareQuality #PatientSafety
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Visit MedReview at Healthcare Payment & Revenue Integrity Series (HPRI) this week to learn what’s new in payment integrity and discuss the challenges of uniting payors and providers. Also, you’re invited to our presentation, “Provider Abrasion is Healthy,” where you’ll dive into the intricacies of claims auditing and learn strategies for enhancing fairness and efficiency. It takes place on Wednesday, Sept. 11 at 12:45 p.m. PDT. See you there! https://lnkd.in/dqSnjvg6 #HPRIWest #MedReview #PaymentIntegrity #HealthcareInnovation
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Sepsis is one of the leading causes of hospital readmissions, with 1 in 5 patients returning to the hospital within 30 days. Accurate coding and clinical validation are crucial to ensure that sepsis diagnoses are properly documented and treated. At MedReview, our DRG Coding Reviews and Clinical Validation services help health plans ensure the accuracy of sepsis diagnoses and prevent costly upcoding. Learn more about how we support healthcare providers in delivering the best patient care: https://lnkd.in/eiYe5rxi #WorldSepsisDay #HealthcareAccuracy #MedReview #DRGCoding #SepsisAwareness