Medical Rehabilitation Consultants
Medical Case Management
Utilization Management
Disease Management
Predictive Modeling
Medical Trust Advisory
Better Baby Program
Billing Reviews
Life Care Planning
Nurse Advocate Line
Other Services
Case Studies
Refer a Case

MRC has been recognized by
Pacific Lutheran University
as a finalist in the
Washington Family Business of the Year Awards
for 2007, 2006 and 2002.

Billing Reviews

Hospital Bill Reviews / Audits

Medical Rehabilitation Consultants hospital bill review/audit program identifies any discrepancies in the hospital services being billed. The hospital bill will be pre-screened to identify any services which will require in-depth analysis. If an onsite review is determined to be necessary, in-depth hospital review is conducted at the hospital. An in-depth review will determine medical appropriateness and relatedness and matching medical records to the bill for services, products, and procedures being billed. If it is determined that the services do not require an in-depth review, a partial review will be conducted. After a review, recommendations will be completed and submitted to the claims administrator for appropriate actions to be performed as part of the reimbursement process.

General Claims Review

A random sample of all claims processed will be reviewed for medical appropriateness and relatedness. Monthly reporting will also identify problem areas with utilization by both providers and patients.

Claim to Bill Audit

A random sample of all claims processed will be reviewed for medical appropriateness, accuracy of information and relatedness.

© 2016 Medical Rehabilitation Consultants. All Rights Reserved. home | patient survey | about | contact | privacy policy