Medical Insurance Consulting Group, Inc

While the regulatory environment continues to evolve, one fact that has not changed is that medical costs continue to rise faster than most plans’ ability to fund benefits. 

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Evolving therapies, advances in technology, and expanded coverage requirements related to implementation of the Affordable Care Act all drive the costs of care higher at a rapid rate. Comprehensive medical review of claims and concurrent care is more important than ever. The challenge for most plans as they move forward is to achieve a balance of helping to control costs while maintaining quality of care and plan member satisfaction. The Medical Insurance Consulting Group, Inc. (MICG) can help your plan achieve these goals. Our board certified physicians are specifically trained to support your plans internal review needs, in the context of your plan design and the need to comply with evolving regulatory requirements. Because our services are physician driven, MICG is uniquely positioned to provide concurrent care and focused reviews that are not only evidence based but clinically relevant. Our products include not only concurrent, but also retrospective reviews, as well as second opinion waivers, procedure pre-certification, and evaluation of quality and medical appropriateness as defined in your Plan Document. Our retrospective reviews address clinical coverage issues and can also include bill reviews with specific attention to coding and level of service evaluations.

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Contact the Medical Insurance Consulting Group, Inc. to find out more about our Comprehensive Medical Review Services. 

 

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