MedReview
Speciality-matched, in-depth appeals and pre-authorizations. Defensible determinations according to URAC standards.
MedReview is AllMed’s traditional Independent Medical Review product used by payers for specialty-matched pre-authorization of complex procedures, for retrospective review of claims and appeals, or for whenever a more in-depth analysis of a medical case is required. Click here to learn how MedReview and other AllMed solutions can streamline your medical review process.
MedReview provides the highest quality, defensible determinations according to URAC standards and published clinical criteria. Turnaround times for medical necessity cases average 1 to 3 days. The MedReview work product is a five-section report that covers the following elements:
- Materials Reviewed
- Summary of Clinical Course
- Response to Referral Questions
- Rationale
- References
Type of Reviews Performed:
- Medical Necessity
- Experimental/Investigational
- Quality of Care
- Provider Appeals
- In-Patient Length of Stay
- Usual & Customary
- Coding
- Durable Medical Equipment
- Disability Determination
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