» The MCR Difference

The MCR system electronically reviews or “scrubs” the clinical information and charges on medical claims – both institutional and professional – and identifies coding errors and billing mistakes… even after other scrubbing processes have already been utilized. The MCR difference is our Scrub Engine: the most in-depth and clinically comprehensive in the marketplace today. Our vast knowledge stems from years of experience working with physicians, hospitals and other health providers on documentation, coding and billing accuracy. Our working knowledge and insight includes payer practices, medical standards of care and reimbursement.

MCR Finds What Other Scrubbing Processes Miss

MCR edits were developed by a team of health care coding and billing specialists with over 20 years of experience working as consultants to providers on medical documentation, coding and billing. Our double-certified coders know the nuances of medical coding, and we’ve spent decades helping providers get their bills correct before submitting them for payment. Our extensive working knowledge and insight with coding standards, clinical practice and medical necessity, as well as medical billing and payer practices, have gone into the development of the MCR edit rules and scrub engine.

MCR Results

MCR has scrubbed behind top health insurance carriers as well as other code editing vendors and off-the-shelf box products. In every case, MCR has identified a range of 3% to 8% or more in overpayments from coding and billing errors. By finding errors others miss, we save self-funded clients tens of thousands of dollars in provider overpayments.

No Noise

With a resubmission rate of less than one percent and a provider appeals rate of one tenth of one percent, MCR does not create any noise in your system or in the provider community. We offer a turnkey provider appeals program whereby MCR handles all provider appeals.

You Don’t Change Anything

MCR can work as either the sole code editing scrubber, or as a secondary scrubber after all other claim and adjudication processes, including your existing scrubbing process, have occurred. We won’t slow down provider payment: your claims are scrubbed in a matter of minutes.

Free Demonstration

MCR provides a free demonstration in which we identify provider overpayments and the amount of money you would have saved using MCR over the past 6 – 12 months. For more information please contact us.