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Welcome
MRC is a consulting service to healthcare facilities needing support in the provision of services to Medicare patients. Our services provide experience and understanding to obtain very high levels of success in meeting the requirements of Medicare rules and regulation as well as RAC reviews, to obtain maximum reimbursement levels.
Utilization Review
MRC’s consultants work one-on-one with your staff to assist in determining the appropriate level of care per individual patient and circumstance. Weekly review with the facility will be initiated by a consultant at MRC, and conducted with the DON or other knowledgeable personnel. During this weekly review, we will discuss each skilled Medicare patient and determine if they are still meeting skilled care criteria. If questions arise about admitting or discharging a skilled patient, staff in the facility are encouraged to call MRC where a consultant will be there to quickly answer your questions. MRC consultants will generate an abstract regarding the progress of the patient, which will be sent to the facility upon the patient’s discharge from skilled care.
Physician Peer Review
Our consulting physicians, each of whom have been practicing for over 25 years, review ED and inpatient charts to offer an unbiased, professional opinion on appropriate assessment and plan of care. Rural facilities and Critical Access Hospitals utilize this service extensively to ensure access to exceptionally experienced professionals.
Additional Services
Our job is to stay current with the endless changes to Medicare rules and regulations. With a background in and understanding of these requirements and how they work, we help maximize your facility’s reimbursement potential. We answer your staff’s questions regarding the Medicare Prospective Payment System, Minimum Data Set, and RUG IV classifications.
Now Offering
Recovery Audit Contractor (RAC) Appeals Assistance
A RAC appeal can be a confusing, time-demanding, and expensive process for your facility. There are two basic approaches for the provider in justifying appeal of an adverse RAC determination: identify why the underlying claim is meritorious, and/or identify and explain any legal defenses to the RAC’s adverse determination. We can help you with an initial analysis of prospective success of an appeal and navigate the complex requirements of this appeals process if that is the chosen path.
Why Your Nursing Staff Appreciates Our Help
Pursuing effective healthcare for Medicare patients occurs in a complex procedural environment that makes addressing the business and healthcare demands equally difficult. As part of our overall service to our clients, we make educating your staff’s understanding of the Medicare system a key part of our service delivery. In our experience, the education we provide in the ordinary course of our main mission provides client staff with the increasing ability to work in a more informed manner.
MRC’s success delivering the best support and with corresponding results can help your facility gain greater success managing your Medicare patients while maximizing reimbursements. We invite you to call so we can discuss how we can help.
