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About Us

Managed Outsource Solutions (MOS) was established in 2002 in Tulsa, Oklahoma as a dedicated outsourcing company offering a range of business process outsourcing solutions including medical record review support services. Fully licensed and insured, and HIPAA compliant, MOS is owned and managed by clinical and management specialists who have several years of experience in this industry.

Dedicated to expertise and innovation, our medical record review company harnesses the potential of a knowledgeable and skilled medical review team comprising physicians, paramedical staff, legal experts and documentation specialists to ensure the best services for our clients.

With almost 13 years' experience in the field, we have designed our services to deliver value and specifically suit the requirements of the legal community, insurance companies, physicians and private corporations among others.


Rajeev Rajagopal: President

Rajeev Rajagopal

Rajeev immigrated to the United States from India in the mid 90s, with an education in physical therapy and computer science, and began working as a physical therapist. He later started a business as a healthcare business consultant. Rajeev manages the day-to-day operations of MOS from NY. With an interest in information technology, he has guided MOS to extensive use of digital technology and the internet that benefits MOS as well as its clients.

Having worked in several rehabilitation clinics, Rajeev has learned the importance of good medical records for billing and liability issues and the importance of good back and front office support to a successful practice. He has experience in dealing with workers’ compensation, personal injury, and No Fault insurance plans.

Rajeev resides in Long Island, NY. When not working on MOS projects, he is doing things with his active son, or spending a little time on the badminton court.


Julie Clements: Chief Solutions Manager: Medical Record Review, Data Conversion and Transcription

Julie Clements

Julie joined MOS in March of 2008. She has some background in the healthcare staffing arena; as well as 6 years experience as Director of Sales and Marketing at a 4 star resort. She has proven capable across multiple product lines and in early 2011 was promoted to supervise all solutions managers. Julie is proving to be a key element in the continued growth of MOS with her outstanding customer relations and technical skills that she brings not only to clients but also to all solutions managers. She was instrumental in the creation of the medical record review division (and new website); and has especially grown this division along with data conversion of all kinds.

Julie lives with her husband and three children in Norman Oklahoma; where after a busy day with MOS, she changes hats to "soccer mom". Incidentally, she occasionally dons a uniform herself in a recreational league, after playing varsity soccer in high school.

Jan Merrifield: Senior Solutions Manager: Medical Record Review, Data Conversion and Transcription

Jan Merrifield

Jan joined the MOS team in early 2011, strengthening both our Marketing and Support. With a BS in Education, and then adding RN to her credentials, her experience ranges from surgical and home health RN to ownership of a medical equipment company. As a registered nurse consultant, Jan has the clinical experience and knowledge that helps her supervise the entire medical record review process flawlessly. She has a thorough understanding of the medical aspects involved in each case and exactly what is required to make sure that our clients benefit from the best service.

Her expertise in customer service, marketing, and clinical knowledge along with her positive and bubbly personality, make her a welcome addition to the MOS team.

Jan is a third generation OU grad and resides in Tulsa, OK. She is actively involved in non-profit agencies. Her sons, dancing, singing, and entertaining fill her with joy.

Dhananjay .S. Nair: Support and Solutions Specialist

Dhananjay .S. Nair

Dhananjay (DJ) joined the MOS team in early 2012 and has been an integral part of the company as a support and solutions specialist. He holds a Degree in Mechanical Engineering as well as certifications in Designing & Networking.

New to this field but quick to adapt and learn, DJ has played a key role in organizing MOS' internal documentation and managing MOS' internal and customer support. He resides in India and works as a bridge to MOS' operations in India.

Like every youngster, DJ likes gaming, music and the gym. He is an avid traveler and loves exploring new places.

Medical Review Services for:

Services Offered

Philosophy and Values

Philosophy and Values

Every business has challenges; and in order for any business to thrive, solutions must be found for these challenges. And, even though we like to think positive; "Murphy's Law" seems to be continually lurking; in other words, there will always be challenges.

We, at MOS, fully understand this, and our business model is centered on SOLUTIONS; for us yes, but more importantly for our clients. You have Challenges? We have Solutions.

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