Address : 1451 Rockville Pike, Rockville, Maryland 20852, United States
Phone Number : +1(800) 227-1464
Industries : Hospital & Health Care
Website : mcmcllc.com
Company Description
MCMC's Independent Peer Review program compliments your appeal, claims, prior-auth, utilization, and case management programs by providing the comprehensive physician expertise and driven service delivery you need to meet industry and regulatory standards for medical review. MCMC's range of services includes everything from pre-certification reviews to complex, high-tech policy reviews, and for health plans, insurance carriers, pharmacy benefit managers, self-funded employer groups, third-party administrators, hospitals, and state-mandated external review programs. Independent Peer Review Turn to the source that most health plans rely on for their peer review services. MCMC is the source you can trust to provide premier service for all your peer review needs. Peer Review Services• Pre-certification/prior authorization• Retrospective• Appeals• Concurrent• Fraud and abuse• Telephone conference/consultation• Quality assessments• Medical expert testimony• Criteria review• Legal Review• Clinical trials MCMC reviews address the following issues:• Medical necessity• Covered benefits based on plan language• Experimental or investigational procedures• Level of care• Drug formulary compliance• Employee leave assessment• Alternative treatments• Length of stay• Impairment, work restrictions and limitations• Procedural coding"
Specialities
- Hospital & Health Care
- Hospitals & Health Care
Financial
Employees Total : 410
Revenue (Yearly) : 3.1M
Miscellaneous
Founded in : 1988
Twitter : mcmcllc
Facebook : MCMC2013
Linkedin : mcmcservicesllc
Email Providers : Mimecast
Email Providers : Outlook
Tech : Microsoft Office 365
Hosting : Amazon AWS
Marketing Automation : Hubspot
CSS and JavaScript Libraries : SignalR
Last Updated : 2023-12-20
Jobs Vacancies
Client Coordinator *Remote*
Rockville, Maryland, United States
Posted at : 2023-12-14
Clinical Quality Assurance Coordinator
Rockville, Maryland, United States
Posted at : 2023-11-30
Client Coordinator
Rockville, Maryland, United States
Posted at : 2023-12-12
Client Coordinator
Rockville, Maryland, United States
Posted at : 2023-11-30
Employees
- Kek Chuan ( General Manager )
- Christina Vick ( Manager: Managed Care Group Health Team Four )
- Charlotte Gregson ( RN )
- Joyce Sedillo ( Social Services/Activities Manager )
- Diana Cabrera ( Senior Quality Assurance Specialist )
- Cindy Stevens ( Senior Bill Review Specialist )
- Kathleen Cupples ( Executive Assistant )
- Carol McMullen ( RN )
Alumni
- Nancy Martell ( quality assurance nurse )
- Darren Rollins ( Sales Executive )
- Matthew McCue ( Operations Manager )
- Pamela Piasecki ( Chief Financial Officer )
Competitors
 | Greenbrier Valley Medical Center hospital & health care 500 employees |
 | AZ Sint-Jan Brugge AV hospital & health care 5,000 employees |
 | Fondazione Opera San Camillo hospital & health care 5M yearly revenue |
 | Seton Medical Center Harker Heights hospital & health care 28.7M yearly revenue |
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