MedReview Inc.

Overview

MedReview Inc. is a physician-led healthcare services company based in New York City. The company has been operating for over 40 years and is recognized as a national leader in payment integrity, utilization management, quality surveillance, and independent medical reviews, serving clients across all U.S. states and territories.

It offers a comprehensive range of physician-approved payment integrity solutions, including clinical reviews, hospital billing audits, and quality management services. Utilizing advanced proprietary algorithms and clinical expertise, MedReview ensures accurate claims processing and the prevention of overpayments. Its client base includes health plans, government agencies, third-party administrators, and self-insured companies. MedReview emphasizes a culture of diversity, respect, and professional growth, with certification as a Great Place to Work.

Basic Information

Contact Details

• Phone: +1 212-897-6000
• Website: medreview.us
• LinkedIn: linkedin.com/company/medreviewinc

Key Focus Areas & Initiatives

• Payment integrity
• DRG validations
• Hospital bill audits
• Readmission reviews
• Utilization management
• Prior authorizations
• Concurrent reviews
• Case management
• Quality management
• HEDIS and QARR reviews
• Independent reviews
• Medicaid and managed care assessments
• Healthcare operational efficiency
• Cost savings solutions
• Testing laboratories and services
• Medical audit and claims data analysis
• Waste and abuse detection
• Provider credentialing review
• Medical review process
• Regulatory compliance and data security
• Healthcare analytics and automation
• Provider audit and fraud detection
• Clinical validation
• Hospital readmission review
• Automated fraud detection and claims review
• AI algorithms
• Data integration and real-time analytics
• Compliance monitoring

Technologies Used

• Adobe Media Optimizer
• Akamai CDN Solutions
• Aspen
• Azure AD P2
• Azure Virtual Network
• Cedexis Radar
• Cisco UCS Servers
• Demandbase ABM/ABX Cloud
• DoubleClick
• DoubleClick Conversion
• Globalscape
• Google AdWords Conversion
• Google Cloud Hosting
• Google Dynamic Remarketing
• Google Tag Manager
• Hubspot
• IBM HTTP Server
• Infoblox DHCP
• LinkedIn Learning
• Linkedin Marketing Solutions
• Microsoft Active Directory Federation Services
• Microsoft Advanced Group Policy Management
• Microsoft Azure Monitor
• Microsoft Distributed File System (DFS)
• Microsoft Entra ID
• Microsoft Hyper-V Server
• Microsoft Intune Enterprise Application Management
• Microsoft Office
• Microsoft Office 365
• Microsoft Windows Server 2012
• Mimecast
• Mobile Friendly
• Namely
• NetApp iSCSI SAN Storage System
• NetSuite
• Nimble AMS
• Remote
• SMTP
• Shutterstock
• VMware (Generic Product)
• VMware vSphere
• Vero
• Vimeo
• WP Engine
• WordPress.org
• YouTube
• reCAPTCHA