Pre-certification & Prior Authorization
MCMC provides “specialist” reviews authorization for Inpatient Hospital Stays, Procedures, and pre-pay fraud reviews. Each review is performed by either a generalist or specialist depending on the case. Reviews are typically completed in 48 hours or less.
MCMC also provides “generalist” reviews for a low flat rate for cases where a generalist suffices. These cases are typically turned around in 24 hours.