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subject: Medical Review Service - Get Professional Support And Assistance From Experts [print this page]


Medico-legal professionals conduct medical review to evaluate the extent, necessity and appropriateness of medical treatment and services. Such review is necessary in determining the accuracy and validity of medical claims. The review of medical records is a process that requires great attention to detail. Therefore physicians and attorneys engaged in medical review service would benefit greatly by relying on professional support and assistance from experts.

Medical Review Services - How a Medical Review Company Can Help

Insurance companies appoint doctors and attorneys to review and audit medical records of claims relating to complex medical cases. To avoid losses, insurers need to carefully examine claims relating to personal injury, workers compensation, disability and so on have to be carefully examined.

Medical review companies have a dedicated work force specialized in the task of organizing medical records. General, hospital, assessment, therapy and diagnostic records are all arranged in proper order so that all the necessary information is readily available. Medical record review involves:

Classification of relevant medical record data according to category

Checking inclusion of date of service, type of service, provider of service and place of service information

Sorting and indexing medical records

Organizing patient medical history, treatment, imaging and lab information

Interpretation of information in the medical records

Medical record and provider lists

Summaries, tables, chronologies and timelines

In summary, the review is a compiled list of all hospital or clinical medical records following treatment for an accident or injury. An efficient medical record review company would:

provide a listing of all information consistent with medical, administrative, legal, regulatory and ethical requirements

highlight all the most important incidents and pieces of information in the medical records from periods of care - discharge summaries, history, tests, surgical reports

A medical review company reviews all the records to make sure that no information is missing. Accuracy of medical codes is also checked. Records are organized in an electronic format compatible with client requirements. Such professional handling of medical record review allows the physician or attorney to easily detect irregularities in claims with regard to MRI scans, durable medical equipment, and so on.

Choose the Right Service Provider

To benefit from professional support and assistance from experts when dealing with complex medical cases, it is important to be discerning when choosing the medical review service provider. Browse the web to locate leading medical review outsourcing companies and partner with one that can provide custom reports to meet your deadlines at competitive rates.

by: MOS




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