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
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
-
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
-
Primary
Get directions
1451 Rockville Pike
Suite 440
Rockville, Maryland 20852, US
Employees at MCMC Services, LLC
Updates
-
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
-
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
mcmcllc.com
-
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
mcmcllc.com
-
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
-
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
-
How can the #healthcareindustry maintain patient privacy while driving toward nationwide interoperability? #interoperability #patientprivacy #patientdata #patientcare #healthcarenews
A fast-paced, fictional exploration of cybersecurity and nationwide interoperability
healthcareitnews.com
-
The MCMC Physician Network expands across all 50 states, with over 900 reviewers representing an extensive list of specialties and subspecialties. 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 #Reviewernetwork #peerreviewer #peerreview #IRO #peerreviewservices #physicianreviewer #physicianjobs #physiciannetwork #reivewers
Why You Should Become a Physician Peer Reviewer With MCMC
mcmcllc.com
-
Did you know? MCMC completes over 100,000 reviews yearly for over 400 clients; including almost all of the nation’s largest Health Plans, PBMs, Disability Carriers, TPAs, UR companies, Self-Insured Employers, and Government Organizations. #IRO #PeerReview #Peerreviews #IME #disability #PBMs #healthplans #TPAs #URcompanies
About | MCMC
mcmcllc.com
-
Can #cloudbased AI services prevent health misinformation? #ArtificialIntelligence #AI #healthnews #healthcare
Cloud-based AI services could help fight health misinformation
healthcareitnews.com