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Medical Peer Review Services

Medical Peer Review Services

Medical peer review is a significant process with regard to claims settlement by an insurance company. It is the peer review that determines whether the treatment provided to a patient was medically necessary and whether the claim is legitimate. If you are a physician appointed by an insurer to review and analyze medical documents pertaining to a particular case, or an insurance company looking to determine the legitimacy of a claim, Managed Outsource Solutions (MOS) can provide comprehensive support with customized peer reviews for all major medical specialties and subspecialties. Our services also help medical record review organizations, physicians and law firms efficiently deal with complex care management issues, sentinel events, Workers’ Compensation cases, and liability claims.

Call us today at 1-800-670-2809 and find out how we can be of assistance. Check out our Free Trial offer.

How We Make Your

Peer Review Process

Easy

To provide reliable support, we have a proficient team of professionals that include physicians, registered nurses, documentation specialists, editors and proofreaders.

  • The properly organized and indexed medical records we provide will help you understand the facts of the case. Physicians can prepare their report quickly and efficiently and submit it to the insurance company.
  • We can list evidence-based factors in the records that can be used to support issues to be addressed like causality, injury, functionality, restrictions and limitations, treatment advice, appropriateness of medical care provided, diagnosis and so on.
  • We check for missing medical documents that may be vital to the case, and make arrangements to obtain them.
  • We prepare accurate chronologies that will provide a clear view of all medical encounters in the sequence in which they occurred. The date and time of service, care providers and other important details will be clearly recorded.
  • The medical summaries we provide are concise and clearly highlight important facts of the case.
  • Our review team will thoroughly check for compliance and thoroughness of data.

Let Us Manage Your Projects Efficiently

Years of national and international exposure in the business process outsourcing industry has given us the ability to understand and manage your projects efficiently. Our quality assurance team ensures quality and accuracy of the solutions delivered. We are fully HIPAA compliant and make sure that all necessary protocols are followed to achieve your goals.

For more information about our medical peer review services, call 1-800-670-2809 or use our Contact Us form.