PROFESSIONAL TIMELY CUSTOMER SERVICE
It’s been our privilege supporting customers across the US for over 25 years. We continually strive to improve and innovate our services to best meet our customers’ ongoing challenges.

ACCURATE AND CONSISTENT WORK PRODUCT DELIVERY
We are committed to the highest quality work product and aspire to exceed our industry’s URAC and CPC Certification requirements.

BEST PRICE, HIGHEST VALUE
We are confident that we provide our customers the best price with the highest quality results of all Certified Utilization Review Companies.

MEDICAL KNOWLEDGE TO REDUCE COST
Our goals are to provide Medical Case Management and Utilization Professional Services, applying medical practice and financial knowledge to improve our customers’ process, outcomes, and financial results.   We apply medical knowledge and financial best practices to cost containment with customized management and education programs for the prevention of over/under utilization of medical services that benefit our customers and their plan members.

FLEXIBILITY
Medical Rehabilitation Consultants, Inc., has the unique ability to quickly adapt and modify our services and reports according to the requirements and needs of our customers. Our flexibility enables us to work with you to formulate a plan designed to contain costs, streamline the healthcare process for your insured members through coordination of care, and make your job less complicated.

COORDINATION OF CARE
Medical Case Management is defined as the timely coordination of medical care to meet an individual’s healthcare needs and maximize the use of benefit dollars while supporting a quality medical treatment plan. It involves review of the whole picture of the participant’s health and medical status, problems, treatment necessary, treatment being given and alternatives to care. It also includes a review of the cost of services, drugs, equipment, supplies; price negotiation; and long-term cost estimates.

TARGETED MEDICAL MANAGEMENT
The purpose of utilization review is to target and medically manage the benefit plan’s most costly services by determining medical necessity, reviewing the proposed plan of treatment for medical appropriateness, determining whether the requested medical services should be provided and exploring if alternative options have been considered that may be less costly and/or more effective. Effective utilization review results in improved benefit utilization, immediate cost containment and improved care and early identification of potential high-dollar and high-risk procedures and services for referral to medical case management.