An Accredited National Leader

MES Peer Review Services (PRS) is a division of MES that services national insurance carriers, corporations and government agencies across the country. PRS is an accredited Independent Review Organization - Comprehensive (IROC), and MES is accredited for CORE Organizational Quality, Workers' Compensation and Utilization Management. These third-party audits ensure that healthcare controls, finance and IT processes meet the highest security standards, which translate into superior quality services.

Review Types

Clients seek our credentialed independent physician reviewers to provide objective medical assessments to facilitate claims resolution and settlement.

Typical review types include:

• Concurrent
• Prospective
• Retrospective
• Reconsiderations
• Appeals

Typical target areas include:

• CMS Case Compliance
• Coding
• Fraud and Abuse
• Federal External Reviews
• Pharmacy Benefit Management
• Quality of Care
• Utilization Management

Please contact us for a full list of our service types and capabilities.

Schedule Service

Benefits

MES Peer Review Services:

• Meet demanding TAT times
• Offer real-time case tracking
• Provide duration and management reporting
• Has secure web-based scheduling
• Ensure peer-to-peer contact
• Include RN oversight and QA
• Provide full-service support

Please contact us to learn more.