Solution Value

Improving Decision Making Through Efficient Record Review

With medical inflation continuing to outpace price increases in other parts of the economy, the importance of medical record review takes center stage as a means of evaluating standards of care, making decisions about long term treatment, and managing cost.

Top institutions are using MedNeutral’s Medical Records Optimization (MRO™) platform to streamline the medical review process and make more accurate and informed decisions. Our solution adds value in the following ways:

  Current State MedNeutral Process Value Created
Digitization
Paper records shuffled between reviewers across multiple locations Secure on-line platform which enables document management/sharing capability
  • Improved document access and security
Indexing
 Information not organized or searchable MedNeutral orders and displays medical records chronologically and enables search by date of service, diagnosis, medical provider, treatment rendered, etc.
  • Increased reviewer throughput and reduced cycle time
  • Better utilization of human resources
Abstraction
 If performed at all, abstracts performed by personnel without medical training. Output is non-standardized and very expensive. MedNeutral utilizes accredited nurses and physicians to create abstract of record which highlights key components of treatment history
  • Improved interpretation of medical data
  • Increased standardization of records
  • Reduced cost and turnaround time of abstraction
Collaboration
 Records kept in multiple locations, aggregated on an ad hoc basis for a particular case or use Records unified and archived in a single location, easily accessed and shared with other process stakeholders
  • Reduction in time spent tracking down, requesting and sharing records
  • Improved productivity for claims processing and legal staff
Analysis
  • Accurate analysis dependent on diligence/competence of reviewer
  • Data used to evaluate and manage outcome of a single case
  • Decision support tools enhance reviewer accuracy and productivity
  • Data can be aggregated and used as an asset to identify fraud, predict outcomes, and manage efficiency of processes
  • Improved medical investigation accuracy leading to identification of inconsistent treatment patterns and potential fraud

 

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