» Why Medical Claims Review?

MCR offers the most current code editing technology available.

We find 3% to 8% overpayment after other scrubbing processes.
We provide no cost, confidential, performance-based pricing.
We never create “noise” in your system or slow down provider payments… at all.
We never change anything – MCR can scrub behind your current system.
We provide a free, secure demonstration.

Performance-based Pricing

MCR fee based on percentage of savings
No financial risk or investment required
Savings based upon client’s actual net Savings
Looks just like a new source of revenue for your company.

No “Noise”

Edits all clinically sound and supported
Less than 1% provider resubmission rate
Less than 0.1% provider appeals
MCR provides “turn-key” provider appeals program

MCR Fits Into Your System

SFTP with TPA
Application Software Provider (ASP) platform
Rejection Report interfaces with claim administration software system
Rejections identified by ANSI reason
1.4 million edits
Each Claim scrubbed twice

Engine Constantly Updated

Quarterly updates:

-HCPCS codes from CMS
-CPT codes from AMA
-ICD-9-CM codes from DHHS
-CCI codes from CMS

Changing / evolving payer practices
Changing technologies
Clinical practice patterns
Medical society-driven clinical protocol

Data Security / PHI

Secured File Transfer Protocol (SFTP)
128-bit Secured Socket Layer (SSL) encrypted connection (Verisign approved)
Meets or exceeds all HIPAA requirements
Utilizes the highest level of security available
System housed at Cybercon (24-hour security, technical support & climate controlled)