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Your Advantage in Case Management for Medicare Compliance

MRC helps hospitals analyze and manage the important task of properly statusing Medicare cases as they enter your doors. MRC’s remote utilization nurse workforce is the largest in the industry, and is there to provide off-site support during a hospital’s most problematic periods, such as nights and weekends. We provide criteria-based evaluation of the medical necessity for admission. MRC-outsourced solutions deliver significant bottom-line results.

While the patient is in your care, we provide full utilization review services to help you classify admission status correctly the first time, with 24/7 remote service. Our clients enjoy the advantage of scalability and responsiveness. MRC’s highly-experienced registered nurses (RNs) offer coverage for extended hours, including nights and weekends – all of the “hard to fill” positions.

With MRC’s Utilization Review serving as an extension of your case management department, we handle the cases that matter the most:

Finally, MRC’s experienced team of RNs provides a unique value that impacts more than just the cases. As an independent third-party, our feedback in the review cycle helps facilitate awareness and discussion around root cause issues that may become more challenging.

24/7 Admission/Medical Necessity Reviews