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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”
Company Details
- Employees
- 417
- Address
- 1451 Rockville Pike,
- Industry
- Hospitals And Health Care
- Website
- http://www.mcmcllc.com
- HQ
- Rockville, Maryland
Mcmc Services, Llc Questions
MCMC Services, LLC's website is http://www.mcmcllc.com
MCMC Services, LLC's LinkedIn profile is https://www.linkedin.com/company/mcmcservicesllc
MCMC Services, LLC has
417 employees.
View email and phone details for 417
employees at MCMC Services, LLC.
MCMC Services, LLC's industry is
Hospitals and Health Care
MCMC Services, LLC's top competitors are
Network Medical Review Co. Llc,
Genex Services,
Mes Peer Review Services,
Mes Solutions,
Advanced Medical Reviews,
Dane Street,
Malaysian Communications And Multimedia Commission,
Examworks,
Propeer Resources,
Allmed Healthcare Management.
MCMC Services, LLC's categories are Hospitals and Health Care
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Top MCMC Services, LLC Employees
-
Paul J. Lanning
n/a
Jericho, New York, United States, United States2concentra.com, mcmcllc.com -
Imants Mohseni
n/a
Rockville, Maryland, United States, United States3gmail.com, gmail.com, mcmcllc.com
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