Medical Review


We are experts in MAC, RAC, ZPIC, CERT, and Probe & Educate levels of appeals.

QRM Medical Review can optimize your Medicare, Medicaid, and Managed Care reimbursement opportunities through onsite and offsite coding, billing and clinical documentation analysis.  We provide customized strategies to improve the efficiencies and accuracy of your claims management process which reduce risk and decrease error rates.

Our team of RAC certified specialists offer:


  • System implementation to reduce and prevent denials

  • Management of MAC diagnosis edit denials

  • Management of documentation requests

  • ADR packet preparation, organization and submission

  • Management of appeals

  • Pre and post-payment probe review and ZPIC guidance

  • Monthly reporting of your medical review activity and claim status

  • Proactive updates on industry denial trends



Let our QRM Medical Review fully manage your ADRs, denials and appeals from start to finish to reduce the threat of payment delays and possible recoupment. 


Contact QRM for your medical review needs @  and  800.506.6925.



  • White LinkedIn Icon
  • White Twitter Icon
  • White Facebook Icon



4949 Westgrove Drive  |  Suite 200  |  Dallas, TX  |  75248



©2018 Quality Rehab Management