Come be a part of the MedReview Inc. family, where we're shaping the future of payment integrity with a spirit of collaboration, fun, and diversity. At MedReview, we believe in accountability, integrity, and delivering results that truly make a difference. We're on the lookout for passionate individuals who resonate with our core values and want to make a positive impact on healthcare. As a physician-led organization, we offer a one-of-a-kind chance to join a vibrant team of clinical experts, data scientists, and more. Explore our career opportunities here: https://lnkd.in/eQX5EQgA #HealthcareJobs #Jobs #HealthcareWorkers #HealthcareProfessionals #MedicalJobs #HealthcareCareer #NursingJobs #HealthcareIndustry #MedicalCareers #MedicalStaff #HealthcareOpportunity #HealthcareWorkersNeeded #HealthcareHiring #HealthcareNetwork
MedReview Inc.
Hospitals and Health Care
New York, New York 8,940 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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Sepsis is one of the leading causes of hospital readmissions, with 1 in 5 patients returning to the hospital within 30 days. Accurate coding and clinical validation are crucial to ensure that sepsis diagnoses are properly documented and treated. At MedReview, our DRG Coding Reviews and Clinical Validation services help health plans ensure the accuracy of sepsis diagnoses and prevent costly upcoding. Learn more about how we support healthcare providers in delivering the best patient care: https://lnkd.in/eiYe5rxi #WorldSepsisDay #HealthcareAccuracy #MedReview #DRGCoding #SepsisAwareness
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MedReview’s Chief Medical Officer, Dr. Michael J. Menen, MD, FACC, will present at the 2nd Annual Healthcare Payment & Revenue Integrity Series (HPRI) Congress West in Las Vegas on Sept. 11. Attendees will hear him explain why some friction, when managed effectively, can create healthier relationships and improve outcomes. Hear his perspectives on maintaining the delicate balance between oversight and collaboration in healthcare. See you there! View the conference agenda: https://lnkd.in/dqSnjvg6 #HPRIWest #MedReview #PaymentIntegrity #HealthcareInnovation
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MedReview is excited to attend the 2nd Annual Healthcare Payment & Revenue Integrity Series (HPRI) Congress West in Las Vegas from September 11-12. Join us to learn more about how we can help you strengthen payment integrity: https://lnkd.in/eAvEv-bA Our CMO, Dr. Michael J. Menen, MD, FACC, will speak at the conference on how balancing provider abrasion and payment integrity are essential elements of relationship management for payors. #HPRIWest #MedReview #PaymentIntegrity #HealthcareInnovation
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MedReview leverages advanced data mining techniques to identify claim overpayments and return funds to payors. Unlike traditional methods, our approach doesn't require medical records or DRG coding, making it more efficient and precise. Our expertise can help detect and prevent fraudulent claims. If you missed our recent blog post on the topic, you can learn more here: https://lnkd.in/dWw8yTsu
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MedReview’s team of experts excels at identifying and preventing claim leakage, ensuring that you maximize your cost savings and maintain payment integrity. Learn how our expertise can serve your organization: https://www.medreview.us/ #Healthcare #PaymentIntegrity #MedReview
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Hospital billing is worse than ever....we gotcha covered...don't let money slip through the cracks...
MedReview has been a leading authority in payment integrity for more than 40 years. With a passion for ensuring healthcare claims represent the care delivered, MedReview provides timely, accurate independent audits and clinical validation of provider claims, saving our clients billions of dollars. Learn more: https://www.medreview.us/
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August is National Immunization Awareness Month (NIAM)! At MedReview, we recognize the vital role that immunizations play in safeguarding public health. Vaccinations protect individuals and strengthen our communities by preventing the spread of infectious diseases. Our physicians encourage you to stay current with your immunizations to protect yourself and your loved ones while promoting long-term health. #NIAM #PublicHealth #Immunization
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Michael Brown, MedReview’s Senior Director of Data Mining, likens the challenging task of detecting claim leakage to “sifting through a pile of rocks.” The advantage that MedReview’s team brings, says Brown, is that “we know which rocks to look under,” which equals faster, more successful results. Discover how our advanced data-mining solutions help identify and recoup overpaid funds, ensuring maximum savings for your health plans. Read more: https://lnkd.in/dWw8yTsu
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MedReview’s comprehensive approach to identifying and correcting medical billing errors ensures exceptional results. We achieve this by leveraging the expertise of board-certified physicians, registered nurses, and certified DRG coding experts along with cutting-edge AI and machine learning technologies. This meticulous process has saved our clients billions of dollars by swiftly and accurately addressing erroneous medical bills. Learn more: https://lnkd.in/dUFSSFdZ