Members Want Provider Networks With Strong Online Presence

2018-05-22T20:27:06-04:00By |Physician Advisor/Peer Review, Quality Improvement Programs, Services|

Medical review is the collection of information and clinical review of medical records by physician advisors (for providers reviewing cases before submissions) or a peer review team (for payers) to ensure that payment is made only for services that meet coverage, coding, and medical necessity requirements. Here are 10 instances which can help you better identify when its time to look for a partner.

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