Medicare Part D Pharmacy Reviews

AllMed has expanded MedCert to include Medicare Part D reviews in response to the growing needs of its clients and partners in health care. PBMs facing  increased workloads, changing regulations and strict compliance requirements can confidently turn to AllMed to outsource their physician reviews. AllMed is committed to meeting the needs of its clients by ensuring the highest quality determinations and strict adherence to turnaround times.

MedCert services from AllMed is a solution designed to:

  • Provide physician review cases from utilization review and case management
  • Free up in-house Medical Director resources to focus on strategic, value-added activities
  • Handle changing medical review caseloads and volume fluctuations

 

With MedCert, expenses associated with medical review activities becomes variable based on caseload, instead of remaining fixed. Quick turnaround times and defensible determinations are other advantages of MedCert.

AllMed offers a national network of board-certified physician reviewers top perform all MedCert reviews. Each review provides “certify” or “non-certify” determinations and an abbreviated rationale in electronic format. MedCert is deployed through PeerPoint, our proprietary medical review portal.

Related Resources

Pharmacy Review Solutions

Flexible, evidence-based reviews, designed to meet your changing needs and ensure compliance with the evolving regulatory environment while ensuring appropriate utilization.

Reach Out
Interested in our Review Services?

Whether you need specialized expertise or added review capacity,
we’re here to help with customized services that fit your exact needs.

Accreditations