MCMC reviews cases in Health, Disability, Pharmacy, Behavioral Health, Dental and Hospital Quality.
As a current vendor for almost all the top 25 health plans in America today, MCMC is a premier and trusted resource for appeals, PreCert reviews, fraud review, quality of care, DRGs, billing and coding reviews.
MCMC’s clientele includes most of the largest disability carriers in the nation. Our dedicated disability team of nurses will give your reviews the specialized focus disability cases demand. For review of limitations and level of impairment MCMC is your trusted source.
MCMC is the most trusted source who PBMs turn to for pharmacy review. We offer Appeal Review, PriorAuth Review, Pharmacy UM Support, and Formulary Review, with a dedicated pharmacy quality team focused solely on the pharmacy benefits industry.
MCMC offers all areas of Behavioral Health review from a comprehensive panel of specialties, including: addiction, adolescent, geriatric and forensic psychiatry,
MCMC offers review in all fields of dentistry and oral medicine.
Hospital Quality Reviews
MCMC’s Hospital Quality Reviews ensure quality-of-care and quality improvement. Our expert staff also offers credentialing and staff reviews, program process assessments and medical literature reviews.