Shaping the future of payment integrity.

In more ways than one.

Shaping the future of payment integrity.

In more ways than one.

MedReview

We have all experienced the difference a skilled doctor can make. At MedReview, our highly trained physicians representing every medical specialty apply their skills in working with our registered nurses and certified coders to identify inaccurate claims and perform comprehensive clinical reviews, reducing unnecessary waste and saving billions of dollars for our clients.

A different kind of payment integrity partner can make all the difference.

Clinical Expertise

As a physician-led organization with an extensive staff of board-certified physicians, specialists and nurses, we employ tight quality control throughout the review process and ensure every reassignment is reviewed by a physician.

Coding Proficiency

When it comes to the timely, accurate review and validation of physician documentation, DRG coding and sequencing, our certified DRG coders are second to none, identifying discrepancies in the DRG logic that are not supported by lab tests or clinical reviews.

Advanced Algorithms

Our proprietary algorithms automatically make sense of the ocean of complex, messy data that comes with healthcare claims, recognizing suspicious payment trends and targeting claims with the highest potential for waste and abuse.

Flexible Configurations

With a comprehensive assortment of battle-tested solutions, we have the flexibility to mix and stack our services and features into customized configurations designed to meet your unique needs.

The savings never stop.

Here’s what we saved our clients last year:

$0

Download our white paper

Top six questions for adding millions to your payment integrity savings.

Choosing the right payment integrity vendor can save your organization millions of dollars. Our latest white paper provides six questions to help you do just that.

Download Now
Top 6 Payment Integrity Best Practices

Reduce waste, increase efficiencies and minimize provider abrasion.

Payment Integrity

Eliminate waste and abuse and let the savings begin with our best-in-class cost-containment solutions.

Learn More

Utilization Management

Maximize operational efficiencies, control costs, increase revenue and improve the member experience with our URAC-accredited utilization management services.

Learn More

Quality Management

Achieve higher scores on quality performance measures with HEDIS/QARR data collection, clinical reviews and assist plans.

Learn More

MedReview’s ability to perform coding and clinical reviews all in one shot is unique. Their clinical expertise is especially noteworthy because it allows them to go deeper and produce more defensible denials.

— Brandon Thompson, VP of Business Development, Advent Health Partners, Inc.

MedReview