MCMC offers a full range of services and programs that review and evaluate claims which decreases medical costs for clients. MCMC’s innovative technology, like Zebra®, ensures improved efficiencies for clients while our Quality, Integrity and Flexibility ensure premier customer service.
MCMC services and programs include Medical Bill Review, Integrated Services, Independent Peer Review, Independent Medical Examination (IME) and Investigative Services.
Within the Medical Bill Review program, MCMC offers a full range of programs; Fee Schedule / UCR Application, Nurse Audit / Review, PPO Application, Pharmacy Benefit Management and Specialty Bill Review.
The Integrated Services program includes multiple services; Call Center – First Report of Injury, Case Management – Telephonic & Field, Utilization Review, and Medical/Legal Nurse Review and Code Review – including DRG and RUG Validation.
Independent Peer Review programs cover a wide range of services including; Appeals, Retrospective Review, Prior Authorization / Pre Certification, Fraud Review, Medical (Forensic) Expert and Special Projects.
MCMC’s Independent Medical Examination (IME) program includes; Medical Examination, Peer Review, Radiology Review and Functional Capacity Examination.
Through MCMC’s Managed Care Ancillary Services, experienced professionals arrange ancillary health care products and services including DME, Home Health, Transportation, Translation, Home / Vehicle Modification and Catastrophic Claims Management.
Investigative Services includes a wide range of services; Surveillance, Web Based Investigation and Litigation Support.
Significant savings and increased efficiencies are standard results for clients using MCMC’s Medical Bill Review program. Our vast experience, combined with Zebra technology, has allowed MCMC to apply best practices to meet the individual needs of each client.