Medical Management Services
MedManagement, LLC assists hospitals with the all-important determinations of whether patients are inpatients or outpatients (with or without observation services). MedManagement employs a strong team of board certified and actively practicing physicians and a team of licensed nurses who are dedicated to maintaining currency and accuracy relative to healthcare law, rules and regulations. MedManagement holds two URAC accreditations; Independent Review Organization (IRO) and Health Utilization Management (HUM). Our work is accomplished through state of the art technology and a highly competent staff.
MedManagement also conducts independent reviews of medical necessity determinations for preauthorization of medical procedures, for internal appeals, for self-insured health plan external reviews and others as required by the Patient Protection and Affordable Care Act (PPACA). MedManagement also has experience as an IRO for providers operating under a Corporate Intergrity Agreement.