Come be a part of the MedReview Inc. family, where we're shaping the future of payment integrity with a spirit of collaboration, fun, and diversity. At MedReview, we believe in accountability, integrity, and delivering results that truly make a difference. We're on the lookout for passionate individuals who resonate with our core values and want to make a positive impact on healthcare. As a physician-led organization, we offer a one-of-a-kind chance to join a vibrant team of clinical experts, data scientists, and more. Explore our career opportunities here: https://lnkd.in/eQX5EQgA #HealthcareJobs #Jobs #HealthcareWorkers #HealthcareProfessionals #MedicalJobs #HealthcareCareer #NursingJobs #HealthcareIndustry #MedicalCareers #MedicalStaff #HealthcareOpportunity #HealthcareWorkersNeeded #HealthcareHiring #HealthcareNetwork
MedReview Inc.
Hospitals and Health Care
New York, New York 11,931 followers
MedReview Inc. helps payors identify inaccurate medical claims to save millions in overpayments.
About us
MedReview is a different type of payment integrity company. As a physician-led organization, our doctors review and document every claim we reassign, resulting in the highest savings per review and the lowest appeal overturn rate in the industry. Our advanced algorithms are enriched by machine learning and decades of clinical and claims data, enabling us to target claims with the highest potential for inaccuracy and abuse. With a passion for ensuring claims fairly represent the care provided, MedReview offers pre- and post-pay billing audits with clinical reviews that save millions of dollars a year for our clients. Our full range of services include industry-leading solutions in payment integrity, utilization management and quality assurance.
- Website
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https://www.medreview.us/
External link for MedReview Inc.
- Industry
- Hospitals and Health Care
- Company size
- 201-500 employees
- Headquarters
- New York, New York
- Type
- Privately Held
- Founded
- 1974
- Specialties
- Payment Integrity, DRG Validations, Hospital Bill Audits, Readmission Reviews, Utilization Management, Prior Authorizations, Inpatient/Concurrent Reviews, Case Management, Quality Management, HEDIS/QARR Reviews, Independent Reviews, and Medicaid/Managed Care Assessments
Locations
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Primary
1 Seaport Plaza, 199 Water Street
27th Floor
New York, New York 10038, US
Employees at MedReview Inc.
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Rita Spano, BSN, RN
Utilization Management
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Kevin McDonald
Chief Operating Officer with P&L, Strategy, Client Management, Sales & Product Expertise | Health Care Executive | Payment Integrity | Health Tech…
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Kathy Gonzales
Chief Strategy Officer at Medreview
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Yuriy Kapelnik
Database Administration Manager
Updates
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Smaller health plans can benefit from advanced AI to streamline their payment integrity efforts, but it can be a hefty investment! By partnering with MedReview, you increase the efficiency and effectiveness of your pre-pay and post-pay payment integrity processes through our physician-guided, advanced machine learning technologies. They are iteratively trained on 50 years of real-world data and clinical payment integrity experience. Learn more about MedReview's payment integrity solutions here: https://lnkd.in/dUFSSFdZ #Payers #PaymentIntegrity #HealthPlans #ArtificialIntelligence
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This Thanksgiving, MedReview is thankful for our clients, partners, and dedicated team who work tirelessly to improve healthcare quality and integrity. May this season bring you peace, joy, and moments to cherish with loved ones. Happy Thanksgiving! #Thanksgiving #HappyThanksgiving
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Payors typically recover only 60-70% of identified overpayments through post-payment integrity and accuracy solutions. They often invest significant resources to recover those funds—frequently at the expense of provider relationships. MedReview’s advanced, analytical pre-payment solution, led by physician oversight, identifies clinical documents and corrects coding errors before claims are submitted. Prospective payment integrity review prevents the loss of money paid for incorrect claims and reduces the administrative burden involved with “chasing” after payments have left your door. Learn more about our payment integrity solutions: https://lnkd.in/dUFSSFdZ #MedReview #PaymentIntegrity #MedicalClaims
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The 2024 NHCAA Annual Conference has come and gone! We enjoyed hearing from payors and providers alike about your biggest challenges and opportunities. If you missed it, we’ll be releasing an on-demand recording of our discussion on AI denial prediction software—highlighting the risks and exploring the ethical questions surrounding AI-generated documentation—in the coming weeks. In the meantime, reach out to schedule a meeting if you’re interested in learning more about how MedReview can help you ensure payment integrity: https://lnkd.in/diZC9wBb #NHCAA #MedReview #PaymentIntegrity #HealthcareInnovation
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On Thursday at 2:45pm CT, MedReview’s CMO, Dr. Michael J. Menen, MD, FACC, will be presenting at the 2024 NHCAA Annual Conference in New Orleans. Dr. Menen’s presentation is titled, “AI Denial Prediction Software: More Accurate Claims or Fraud?” Join this session to learn about the risks, including the creation of contradictory or duplicative notes, and explore the ethical questions surrounding AI-generated documentation. He will also consider the broader implications for patient care and the trajectory of clinical documentation. Come to Dr. Menen’s session and visit us at booth 203 to learn more about how we can help you strengthen payment integrity! Learn more: https://lnkd.in/eF4n_TiU #NHCAA #MedReview #PaymentIntegrity #AIDenials #DenialPredictionSoftware #MedicalClaims #ClinicalDocumentation
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Are you attending the 2024 NHCAA Annual Training Conference in New Orleans next week? MedReview is sponsoring the conference and our CMO, Dr. Michael J. Menen, MD, FACC, will be presenting on Thursday at 2:45pm. Come visit us at booth 203 and engage with our team of experts to learn more about how we can help you strengthen payment integrity! Learn more: https://lnkd.in/eF4n_TiU #NHCAAConference #MedReview #PaymentIntegrity #HealthcareInnovation
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Today, we honor the brave men and women who have served our country. Thank you to all veterans for your courage, commitment, and sacrifice. We deeply appreciate your dedication to protecting our freedoms. MedReview stands with you in gratitude. #VeteransDay #ThankYouVeterans
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Are you attending the 2024 NHCAA Annual Training Conference in New Orleans? MedReview is a proud sponsor of the conference this year and our CMO, Dr. Michael J. Menen, MD, FACC, will be speaking. Stop by booth 203 to learn more about strengthening your payment integrity by speaking to our team of experts. Click here to learn more: https://lnkd.in/eF4n_TiU #NHCAAConference #MedReview #PaymentIntegrity #HealthcareInnovation
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The application deadline for MedReview’s NYCHSRO Medical Coding Scholarship Fund is this Friday! Through this fund, we provide support to approximately 20 exceptional students embarking on their educational journey at CUNY School of Professional Studies in Spring 2024. These students, selected based on academic excellence and a demonstrated passion for medical coding auditing, will receive invaluable assistance to pursue their dreams in achieving the Certificate in Medical Coding. For more information or to get involved, visit: https://lnkd.in/eeF6Mt_h #PaymentIntegrity #Healthcare #CUNY #MedReview #PhysicianLed #CodingScholarship