Join our team at MedReview–where innovation meets purpose! Are you ready to be part of a dynamic team dedicated to bringing accuracy, accountability, and clinical excellence to healthcare? We’re a physician-led organization looking for talented individuals to join our rapidly growing team of clinical experts, data scientists, and more. Explore our career opportunities here: https://lnkd.in/gu6PPvJ7 #HealthcareJobs #Jobs #HealthcareWorkers #HealthcareProfessionals #MedicalJobs #HealthcareCareer #NursingJobs #HealthcareIndustry #MedicalCareers #MedicalStaff #HealthcareOpportunity #HealthcareWorkersNeeded #HealthcareHiring #HealthcareNetwork
MedReview Inc.
Hospitals and Health Care
New York, New York 6,181 followers
MedReview Inc. helps payors identify inaccurate medical claims to save millions in overpayments.
About us
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.
- Website
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https://www.medreview.us/
External link for MedReview Inc.
- Industry
- Hospitals and Health Care
- Company size
- 201-500 employees
- Headquarters
- New York, New York
- Type
- Privately Held
- Founded
- 1974
- Specialties
- 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, and Medicaid/Managed Care Assessments
Locations
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Primary
1 Seaport Plaza, 199 Water Street
27th Floor
New York, New York 10038, US
Employees at MedReview Inc.
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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
Updates
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Let’s bring accuracy, accountability, and clinical excellence to healthcare together! At MedReview, we thrive on teamwork and encourage honest and open discussion and trust in one another. Be part of a team that's shaping the future of healthcare. Explore our career opportunities here: https://lnkd.in/gu6PPvJ7 #HealthcareJobs #Jobs #HealthcareWorkers #HealthcareProfessionals #MedicalJobs #HealthcareCareer #NursingJobs #HealthcareIndustry #MedicalCareers #MedicalStaff #HealthcareOpportunity #HealthcareWorkersNeeded #HealthcareHiring #HealthcareNetwork
Join the MedReview Team of Experts - Apply Today
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The Center for Health Information and Analysis (CHIA) estimates the number of readmissions in the U.S. to be 3.8 million annually, at a cost of roughly $26 billion. Moreover, the cost of preventable readmissions is estimated to be a whopping $17 billion annually. MedReview’s Readmission Review program provides thorough, accurate reviews of targeted readmissions to determine if they were the result of a premature discharge, insufficient discharge planning, or lack of post-discharge follow-up. Learn more: https://lnkd.in/e3bUHiNx
Readmission Reviews | MedReview Inc.
https://www.medreview.us
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Analyzing complex hospital billing issues requires specialized skills and resources. That’s because many payors do not have the internal staff and experience to quickly and accurately identify errors and deconstruct the clinical, network and coding nuances inherent to hospital bill audits. MedReview stands out with a 90% success rate in reducing costs, thanks to our registered nurses' expertise in uncovering billing errors and aligning claims with actual care. Learn more: https://lnkd.in/gvhadY8d
Hospital Bill Audits | MedReview Inc.
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Without proper data mining, payors can expect a 1-2% loss on claims due to overpayment. Through applying concepts, MedReview’s data-mining team can locate claim overpayments and return funds to payors. And the more concepts are applied, the more savings add up. To learn more, read our latest blog article, “Data Mining for Payment Integrity–knowing which rocks to turn over”: https://lnkd.in/dWw8yTsu
Data Mining for Payment Integrity
https://www.medreview.us
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Join us in raising awareness for #RareDiseaseDay! Together, let's shine a light on the challenges faced by those living with rare diseases and show our support for their journey. Rare diseases affect millions worldwide, yet many remain undiagnosed or lack access to proper care and treatment. Bridging the gap between diagnosis and accessible care is crucial. By optimizing healthcare payment processes, MedReview ensures resources are maximized and accessible to all, including those affected by rare diseases. Learn more: www.medreview.us
Physician Approved Payment Integrity Solutions | MedReview
https://www.medreview.us
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Inevitably, there are errors–and dollars–that have been overlooked when a claim is paid. With MedReview’s data-mining solution, our experts recoup funds that otherwise are overpaid in error. Read our latest blog article, “Data Mining for Payment Integrity–knowing which rocks to turn over,” to discover how your organization can uncover savings opportunities and prevent claim leakage: https://lnkd.in/dWw8yTsu
Data Mining for Payment Integrity
https://www.medreview.us
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In our latest whitepaper, Chief Medical Officer Dr. Michael Menen delves into the nuances of conflicting objectives between providers and payors. Learn how to navigate these dynamics and improve healthcare outcomes: https://lnkd.in/gtZsU65u
Provider Abrasion: A Natural Outcome of Payment Integrity
https://www.medreview.us
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MedReview's quality management program helps payors improve their quality measures, making it easier for consumers to choose their plans confidently. With more than four decades of experience serving as an independent auditor of healthcare claims throughout the U.S., we continue to set the standard for accuracy and professionalism in quality assurance. Learn more: https://lnkd.in/ga5HJqGn
Quality Management Services | MedReview Inc.
https://www.medreview.us
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🎗️ Honoring #SepsisSurvivorsWeek 🎗️ Sepsis is the leading cause of death, the leading cause of readmissions and is the most expensive condition treated in U.S. hospitals. MedReview stands in solidarity with the brave individuals who have battled sepsis and emerged as survivors. We also extend our gratitude to the caregivers who offer unwavering support throughout the recovery process. Read our blog article, “Sepsis Coding Issues Support Enhanced Payment Integrity,” where we discuss crucial coding issues surrounding sepsis care and recommendations from the U.S. Department of Health and Human Services: https://lnkd.in/g9uyN2pt Let's unite to raise awareness, support survivors, and ensure proper documentation and care for those affected by sepsis. Together, we can make a difference.
Sepsis Coding Issues Support Enhanced Payment Integrity - Med Review Inc.
https://www.medreview.us