Meet the MCMC team here- https://lnkd.in/gJETYzFd Our tenure, extensive history, exposure, and knowledge in the industry make us a trusted and innovative partner to our clients. We are committed to providing exceptional client service. #IROclientservices #IROclients #IRO #Peerreview #peerreviewservices #IROsolutions #IROservices
About us
MCMC’s Independent Peer Review program compliments your appeal, claims, prior-auth, utilization, and case management programs by providing the comprehensive physician expertise and driven service delivery you need to meet industry and regulatory standards for medical review. MCMC’s range of services includes everything from pre-certification reviews to complex, high-tech policy reviews, and for health plans, insurance carriers, pharmacy benefit managers, self-funded employer groups, third-party administrators, hospitals, and state-mandated external review programs. Independent Peer Review Turn to the source that most health plans rely on for their peer review services. MCMC is the source you can trust to provide premier service for all your peer review needs. Peer Review Services • Pre-certification/prior authorization • Retrospective • Appeals • Concurrent • Fraud and abuse • Telephone conference/consultation • Quality assessments • Medical expert testimony • Criteria review • Legal Review • Clinical trials MCMC reviews address the following issues: • Medical necessity • Covered benefits based on plan language • Experimental or investigational procedures • Level of care • Drug formulary compliance • Employee leave assessment • Alternative treatments • Length of stay • Impairment, work restrictions and limitations • Procedural coding”
- Website
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http://www.mcmcllc.com
External link for MCMC Services, LLC
- Industry
- Hospitals and Health Care
- Company size
- 501-1,000 employees
- Headquarters
- Rockville, Maryland
- Type
- Privately Held
Locations
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Primary
1451 Rockville Pike
Suite 440
Rockville, Maryland 20852, US
Employees at MCMC Services, LLC
Updates
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Do out-of-pocket payments discourage patients from the use of #telemental healthcare? Find out here. #medicalpayments #healthcarecosts #outofpockethealthcarecosts #telehealthcosts #telehealthcare #patientcosts #patientcare
Out-of-pocket payment deters telemental healthcare use
mhealthintelligence.com
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Did you know? MCMC is a Certified IDR Entity! Explore our IDR service offerings here- https://lnkd.in/g46CT6A The Department of Health and Human Services, the Department of Labor, and the Department of Treasury have certified MCMC Services, LLC to serve as an independent dispute resolution entity in the federal independent dispute resolution process between providers, facilities, or providers of air ambulance services and group health plans, health insurance issuers, and Federal Employees Health Benefits program carriers. #FederalIDR #IDRservices #IDRprocess #CertifiedIDREntity #IRO #IDRreviewservices #IDRreview
Services | MCMC
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Find out what concerns regarding fairness, bias, transparency, and privacy are surrounding #artificialintelligence in healthcare. #healthcareAI #AIinhealthcare #AI #digitalhealthcare #healthcarenews #healthcareresearch
Researchers call for ethical guidance on use of AI in healthcare
news-medical.net
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Founded in 1984, MCMC has been the trailblazer and industry leader in the IRO space for several decades with over two million reviews completed. Contact us today to learn how you can partner with MCMC-https://lnkd.in/gZGfx44p #IRO #PeerReviewManagement #ClaimReviewManagement #MedicalClaimReviews
Contact | MCMC
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Can #artificialintelligence solve data challenges in healthcare? #healthcarenews #healthcaredata #patientdata #healthcarenews #healthcareresearch
How AI Can Help Solve Healthcare’s Data Problem - MedCity News
https://medcitynews.com
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MCMC is currently looking for #physicianreviewers to join our network. Many reviews require state and specialty matches, so we are always looking for great physicians to join our network of reviewers. Learn more about becoming a physician reviewer for MCMC from our blog here- https://lnkd.in/gDVJNMii Or fill out our form here- https://lnkd.in/gFB2m2_D #Physiciannetwork #Physicianjobs #Physicianrecruitment #physicians #Medicalclaimreviewers #claimreviews
Why You Should Become a Physician Peer Reviewer With MCMC
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At MCMC our clients can expect superior market innovation, first-class performance, and partnering with the pioneers of independent review organizations. Find out more about what makes us MCMC here- https://lnkd.in/g46CT6A #IRO #PeerReview #SuperiorMarketingInnovation #IROservices #IROsolutions
Services | MCMC
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Check out 3 tips that can help providers and boost payment integrity for patients. #providers #patients #paymentintegrity #healthcarenews #healthcaretips #patientcare #healthcarecosts
3 Tips to Reduce Provider Abrasion and Enhance Payment Integrity
healthpayerintelligence.com
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MCMC has become the nation’s leading independent review organization by providing the services you need with unparalleled support. Contact us today to find out how you can partner with us- https://lnkd.in/gZGfx44p #peerreview #peerreviewsolutions #peerreviewservices #IROsolutions #IRO
Contact | MCMC
mcmcllc.com