Private corporations often require medical record review service in relation to cases such as Workers Compensation settlements. The various medical details have to be carefully studied and organized so that there is a clear view of the case. The medical review process has to be accurate, with no room for error. To benefit from flawless and unbiased medical review services, private corporations can depend on established medical review firms. When choosing a reliable provider, the important aspects to look for are cost-effectiveness and timeliness.
What the Medical Review Process Involves
The medical review process is carried out in clear-cut steps:
Medical record organization the various medical records pertaining to a case are sorted and indexed. They are analyzed to understand the important details, and classified appropriately. The information is reviewed for completeness, compliance and accuracy.
Medical record history and summary these are prepared after a detailed evaluation of the medical records. They contain vital information specific to claimant problems.
Medical case chronology this comprises a clear timeline detailing the sequence of medical events.
The medical records are scrutinized in such detail that any missing records are easily identified. The review team would take the necessary steps to get those records as well.
Profile of an Ideal Medical Review Company
Outsourcing medical record review to just any medical review firm will not help. You need to be aware of the various features that are the hallmarks of a company you can trust with your sensitive healthcare data.
The company has to be a professional and experienced one, with many satisfied clients to its credit.
It should have the right, qualified and experienced workforce that can successfully complete the medical data abstraction. The workforce should ideally include physicians, nurses and documentation specialists with the capability to handle any major medical specialty.
The ideal medical review company will have a proven project management process.
It will also have the latest in technology, and will lay extra emphasis on quality.
Competitive pricing for services provided, with assured cost savings for clients.
An excellent QA process that will ensure quality as well as remarkable accuracy.
Customized turnaround time in keeping with client requirements.
HIPAA compliance to ensure confidentiality of patient records.
Customized Medical Review Services
A dependable medical record review company will strive to provide customized services that are developed in close association with clients. This is to enable the provider to understand the specific requirement of the clients and offer appropriate solutions. Advanced medical reviews that clearly lay out the required information will help private corporations to accurately and quickly settle cases.