Good Stuff Happens in 1:1 Meetings: Why you need them and how to do them well
Quality assurance and management in medical record review
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Quality Assurance and Management
in Medical Record Review
The medical review process is one that demands hundred
per cent quality assurance to rule out any chance of error.
Medical record review is an important process that helps to
form a clear evaluation of the various medical encounters
with regard to medical
malpractice and personal
injury cases as well as other
types of litigation. Medical
review professionals have the
expertise and knowledge to
review all types of medical
records. Usually, assistance is
provided in preparing documentation for physician peer
review, medical peer review, disability opinion, medical
chart review and so on. The medical review process is one
that demands hundred per cent quality assurance to rule out
any chance of error.
Organizing Medical Records and Extracting Data
The medical records pertaining to a particular case will
usually be voluminous, from which the relevant data is to
be extracted. The facts contained in the medical records are
important for the attorney handling medical litigation, for
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the physician engaged in peer review and for insurance
companies looking to settle claims and providing the
deserving care to covered entities. One of the core tasks a
medical review company undertakes is medical record
organization in which all relevant medical records are
collected, organized and indexed for easy perusal and for
gathering important data. The info gathered is then
presented as concise summaries with all important details
highlighted. The professionals carrying out the medical
review process include physicians and nurses apart from
regular documentation staff. They review the documents in
a consistent and unbiased manner so that only the correct
information is presented to the end user.
Ensuring Quality and Compliance
Leading medical review companies focus on providing
proven solutions that will ideally address all compliance
requirements of their clients. They utilize state-of-the-art
technology and the expertise of proficient quality control
personnel to deliver quality driven services. These services
help medical-legal entities, payers and other providers to
improve quality and enhance revenue.
• A reliable medical record review company with
considerable standing in the industry will adhere to the
most rigid protocols as regards HIPAA compliance,
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PHI security and confidentiality, and quality
assurance.
• The medical reviewers in such a medical review firm
are highly knowledgeable in various medical
specialties and sub specialties. This enables them to
provide insightful medical reviews that are evidence
based. Paramedical and medical staffs that are part of
the review team will ensure the quality expected by
the clients.
• Each review is subjected to a multilevel QA process.
o The first level of QA is done by the production
team that will review all the documents they
worked on.
o The second level of checking is carried out by
reviewers who will peruse all the documents. If
required they will be sent back for further
checking/corrections. If the documents are error
free, they are passed on to the next level.
o The third level of quality assurance is at the
hands of a medical practitioner, and is done as an
oversampling of all documents.
If you are discrete enough to identify and associate with a
unique service provider, you really stand to benefit. The
reviews you receive will be practically error free, concise
and of immense utility value. However complicated the
documentation in your medical records may be, such a
service provider will have an excellent document
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management system in place that facilitates sorting and
capturing the required medical chart information for review
purposes.
Managed Outsource Solutions (MOS) provides
comprehensive and cost-effective medical record review
services. Professionals at MOS are highly qualified and
experienced, having in depth understanding of all definitive
terms.
http://www.mosmedicalrecordreview.com/ 1-800-670-2809