If you would like to discuss our medical claims review services and how they can benefit your organization, contact one of our specialists today. You can reach us by phone at (703) 683-9600 or click here to fill out our online contact form.
Our medical review team is capable of conducting health care program evaluations across a wide-variety of service areas and clinical topics including, but not limited to:
The team includes a pool of subject matter experts covering a wide variety of medical specialties, care management, behavioral health, and pharmacy. These experienced medical directors, medical review nurses, certified coders, and fraud analysts are able to conduct claims reviews and determine medical necessity or potential fraud, leveraging an average of 25 years of medical experience.
The Medical review team has supported various federal government program integrity efforts in key personnel rolls on contracts at the Centers for Medicare & Medicaid Services (CMS). Examples of specific contract work we have been involved in include:
IntegrityM’s multi-disciplinary staff is widely scalable, allowing for immediate medical review staffing needs. We maintain a pool of experts that have knowledge in a variety of schemes and fraudulent activities and can work around the country.
If you would like to speak with one our experts about medical claims review services, click here to contact us today, or call (703) 683-9600.
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