Medical Review

Picture of a stack of papers

Page by page: Medical documentation contains a lot of information.

Word by word: Our medical documentation reviewers expertly recognize any aberrancies and incongruities for our clients.

Our licensed clinicians are solidly grounded in knowledge of the benefit program.

These professionals use that knowledge to assess if services were rendered and/or
medically necessary and if quality of care concerns existed. Each record review articulates
findings as well as cites the law, regulation, or coverage policy that supports the determination.

Our rigorous quality monitoring program measures the accuracy and consistency of
each review.