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.

MCMC provides Medical Bill Review in various markets:

• Workers’ Compensation
• Auto-No Fault
• Other markets including FELA and Texas Nonsubscriber

MCMC’s Medical Bill Review program generates both savings and efficiencies for clients.  Savings result from reductions on medical bills through the application of the appropriate fee schedule / UCR and utilization review audits and edits completed by MCMC Nurse Auditors and Certified Coders.  MCMC’s experienced subject matter experts have firsthand knowledge of provider billing practices and techniques.  Our knowledge, combined with our processes, innovative technology, robust databases, and unique analysis methodologies enable our Nurse Auditors and Certified Coders to apply rules that prevent overpayment of inappropriate medical charges.  In addition, if applicable, MCMC applies reductions through a comprehensive PPO network.  MCMC also has an Out-of-Network Negotiation program that results in signed agreements and elimination of balance billing issues.  Each client can customize a program to meet their needs by using all or our programs or using an individual program to meet an individual need.

MCMC eliminates billing abuse by ensuring that each bill goes through the appropriate review process.  MCMC offers:

• Fee Schedule / UCR Application
• Nurse Audit Review
• PPO Network Application
• Pharmacy Benefit Management
• Specialty Bill Review