subject: Why Utilize Outsourced Medical Review Services [print this page] Medical record review is an important process that has to be done scrupulously to avoid errors. Outsourced medical review services offer benefits including affordability and dedicated service.
Health insurance entities, medical and legal entities, social security disability firms, private corporations are all looking to improve quality, reduce expenses and successfully meet all relevant accreditation and compliance standards. This is rather challenging especially when the task at hand is to review the medical necessity of service requests that includes appeals from providers and the insured, as well as pre-authorizations. Medical practitioners employed by health insurance companies very often have to devote their time to review appeals and pre-authorization requests. This reduces the amount of time they have for overseeing compliance, quality and clinical operation processes. Insurers can save on the rather high compensation due to these professionals by outsourcing to a reliable medical record review firm. In this way, these professionals can be assigned jobs that require their higher level expertise.
Medical Review Services to Lower Costs and Improve Productivity
Leading review organizations can provide comprehensive medical review services that will assist in easy medical decision making. With their web-based technology platforms and skilled medical review professionals including physicians and nurses, reliable outsourcing partners provide state-of-the-art medical review support. This helps in reducing your workload and ushers in more efficiency. The professionals in a medical record review firm have the expertise and knowledge to review all types of records. They extend full support as regards preparing documentation for medical peer review, pre-authorization, utilization review, disability opinion and medical necessity review. You can request for services such as:
medical record organization
medical case history and summary
medical case chronology
Proper organization is the key to efficient functioning. This is something that an outsourcing company can ensure you. The medical records provided to the medical record review company are neatly categorized for ease of understanding particular cases. Once the records are organized, the review professionals set about extracting the relevant data from them to prepare concise and clear summaries. A timeline of the various medical encounters is drawn to provide a clear view of the sequence of events. The medical review staff is also competent enough to identify and locate missing medical records that may turn out to be crucial at a later stage.
More Benefits that Justify Outsourcing Medical Review
Outstanding data management capabilities
Reliable data loss prevention systems
Readily accessible services
Reliable disaster recovery systems
State-of-the-art QA system to ensure that all reviews are accurate and in total compliance with customer specifications.
Service on a 24X7 basis
It is apparent from the above details that it is worthwhile engaging a medical record review company for streamlining the medical review process. With the right blend of technology, professionals and quality management standards a provider of outsourced medical review services is an ideal partner for medical-legal entities as well as health insurers.
