Anyone have experience with Medical Site Reviewers?

Specialties Quality Improvement

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I have been contacted to do HEDIS reviews for MSR (Medical Site Reviewers) since Managed Access is no longer in businesss. Does anyone know what their pay scale is for these reviews? How does this company treat their nurses? I was also contacted by Outcomes, Inc but they offer $4.00 per chart and that is much less than I have ever received for doing these reviews. Any comments appreciated!

Have you ever done Heidis reviews? CARA reviews are medicare and occas. Medicaid patients. In Heidis review it can be anyone from private pay, medicaid and the elderly. With CARA you are looking for HCC and ICD 9 codes. If a facility submits a bill for a procedure you go in and look for supporting evidence but also look for other HCC and ICD 9 codes. when you actually get down to it you are looking at a specific time frame for the procedure which is provided in what is called the DCT and then you look for other procedures that you may code that the facility hasn't. If you would like an example please let me know. I really enjoy doing it. We have known HCC and we have what we call a Target. The target is what you are really looking for based on labs that were drawn and submitted and DX. I am fixing to have to leave for a site or I would be more precise but this morning I don't have the time, just let me know if you want any further informationI hope this helps.

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Have you ever done Heidis reviews? CARA reviews are medicare and occas. Medicaid patients. In Heidis review it can be anyone from private pay, medicaid and the elderly. With CARA you are looking for HCC and ICD 9 codes. If a facility submits a bill for a procedure you go in and look for supporting evidence but also look for other HCC and ICD 9 codes. when you actually get down to it you are looking at a specific time frame for the procedure which is provided in what is called the DCT and then you look for other procedures that you may code that the facility hasn't. If you would like an example please let me know. I really enjoy doing it. We have known HCC and we have what we call a Target. The target is what you are really looking for based on labs that were drawn and submitted and DX. I am fixing to have to leave for a site or I would be more precise but this morning I don't have the time, just let me know if you want any further informationI hope this helps.

Thank you for the post Marlene1.

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THANKS for the info Marlene. Yes, I did HEDIS chart reviews for 3 years when I lived in So. CA. I currently live out here in the middle of nowhere in West TX and no one has ever heard of HEDIS. The closest I'd have to go to do this again would be Dallas-Ft.Worth, about 4 1/2 hrs away.

THANKS again.

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Have you ever done Heidis reviews? CARA reviews are medicare and occas. Medicaid patients. In Heidis review it can be anyone from private pay, medicaid and the elderly. With CARA you are looking for HCC and ICD 9 codes. If a facility submits a bill for a procedure you go in and look for supporting evidence but also look for other HCC and ICD 9 codes. when you actually get down to it you are looking at a specific time frame for the procedure which is provided in what is called the DCT and then you look for other procedures that you may code that the facility hasn't. If you would like an example please let me know. I really enjoy doing it. We have known HCC and we have what we call a Target. The target is what you are really looking for based on labs that were drawn and submitted and DX. I am fixing to have to leave for a site or I would be more precise but this morning I don't have the time, just let me know if you want any further informationI hope this helps.

Marlene1,

I would like to see a example if you don't mind sharing.

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Specializes in Med-Surg, Psych, Tele, ICU.

I worked for them last year during the CARA review. I was told a bag of lies by the recruiter that hired me. The pay was satisfactory, but I was told I would receive mileage plus a gas stipend. I was promised fulltime work, and was lucky to work 15 hours a week, I was promised to continue on with Hedis, however, no one could determine if it was going to happen in my region. I was told yes, then no and finally after emailing half of the supervisors I was told no. I put my young child in daycare based on what they told me, and ended up spending more than I earned. NO ONE could return emails or phone calls in a timely manner, making me feel like a "stalker" because I called and emailed constantly. I would never do it again.

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I am sorry that you had such a hard time. I wished I knew who you were dealing with. I have never had any problems with them and I have been with them since March of 2006. They have always called me in a timely manner and return any e-mails within a 24 hour period. As for as gas allowance I have always received double for what I spend. If I was to spend for example 20.00 for gas I get 40.00 I have never had any trouble getting expenses reimbursed or my pay. I am sorry your experience was not good. :o

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Thanks for all the information! I am scheduled for a phone interview in the morning. Do you have any suggestions for types of questions? Also, do you know approximately what they pay LPNs? Thanks in advance!

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Thanks for all the information! I am scheduled for a phone interview in the morning. Do you have any suggestions for types of questions? Also, do you know approximately what they pay LPNs? Thanks in advance!

Their base pay is 17.00 an hour, you get gas mileage and mine usually is double what I spend. If I spend for example 20.00 for gas I usually average 40.00 in payment. I have been with them for 2 1/2 years now. I do a lot of traveling for them, like this past week I went to Myrtle Beach to work. This is about 4 hours from where I live but they always book you a nice room close to the site. Of course you don't have to travel this far, I just enjoy doing it. They also give you a food allowance which is more than I usually use but they give you the amount whether you use that much or not. You do have down time between reviews and you may go 2 weeks without work until they get the other reviews ready. I hope this helps.

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Thanks for the info. I will be starting training for MedAssurant next week. MedAssurant is a different company than the one you work for right?

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Thanks for the info. I will be starting training for MedAssurant next week. MedAssurant is a different company than the one you work for right?

No this is the company that I work for.

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Their base pay is 17.00 an hour, you get gas mileage and mine usually is double what I spend. If I spend for example 20.00 for gas I usually average 40.00 in payment. I have been with them for 2 1/2 years now. I do a lot of traveling for them, like this past week I went to Myrtle Beach to work. This is about 4 hours from where I live but they always book you a nice room close to the site. Of course you don't have to travel this far, I just enjoy doing it. They also give you a food allowance which is more than I usually use but they give you the amount whether you use that much or not. You do have down time between reviews and you may go 2 weeks without work until they get the other reviews ready. I hope this helps.

How do you get reimbursed for gas? I am a new hire and I was told that I would get hourly pay plus mileage. I was also told that expenses are reimbursed, but was not specifically told what kind of expenses.

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