Achieving a robust and balanced healthcare ecosystem entails embracing moderation, even in the realm of “provider abrasion”. This discourse delves into the nuanced understanding that certain elements perceived as abrasive by healthcare providers may, in fact, be essential. The exploration extends to strategies aimed at rendering these interactions more palatable. Additionally, an examination of measures payors can employ to mitigate provider abrasion, without undermining their payment integrity processes, will be explored.
Dr. Michael Menen
MedReview
Website: https://www.medreview.us/
MedReview sets itself apart with over 50 years of experience delivering physician-approved pre-pay and post-pay payment integrity services that prioritize billing and payment quality, accuracy, and precision. Every claim reassigned by MedReview is reviewed, approved, and documented by a team of physicians, resulting in the industry’s lowest appeal overturn rate.
Utilizing proprietary technology combined with extensive subject matter clinical and administrative expertise, we achieve a 40% or greater reassignment rate focused on our clients’ specific needs. MedReview provides the full spectrum of payment integrity solutions including DRG and clinical reviews, cost outlier audits, re-admission reviews, data mining and itemized bill reviews.
Partnered with clients across the country, MedReview offers a flexible approach, supporting both complete outsourcing and supplemental enhancements to existing programs. By optimizing recoveries, preventing overpayments, and improving the provider experience, MedReview empowers payors to navigate the complexities of payment integrity with confidence and measurable success.