Kristy Whalen

RN at MCMC - Quincy, Massachusetts, US

Kristy Whalen's Contact Details
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(800) 227-1464
Location
Company
MCMC
Kristy Whalen's Company Details
MCMC logo, MCMC contact details

MCMC

Quincy, Massachusetts, US • 520 Employees
Hospital/Clinic

MCMC’s Independent Peer Review program compliments your appeal, claims, prior-auth, utilization, and case management programs by providing the comprehensive physician expertise and driven service delivery you need to meet industry and regulatory standards for medical review. MCMC’s range of services includes everything from pre-certification reviews to complex, high-tech policy reviews, and for health plans, insurance carriers, pharmacy benefit managers, self-funded employer groups, third-party administrators, hospitals, and state-mandated external review programs. Independent Peer Review Turn to the source that most health plans rely on for their peer review services. MCMC is the source you can trust to provide premier service for all your peer review needs. Peer Review Services • Pre-certification/prior authorization • Retrospective • Appeals • Concurrent • Fraud and abuse • Telephone conference/consultation • Quality assessments • Medical expert testimony • Criteria review • Legal Review • Clinical trials MCMC reviews address the following issues: • Medical necessity • Covered benefits based on plan language • Experimental or investigational procedures • Level of care • Drug formulary compliance • Employee leave assessment • Alternative treatments • Length of stay • Impairment, work restrictions and limitations • Procedural coding”

Medical Case Management Healthcare Medical Cost Containment Utilization Management Healthcare Quality
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Frequently Asked Questions about Kristy Whalen
Kristy Whalen currently works for MCMC.
Kristy Whalen's role at MCMC is RN.
Kristy Whalen's email address is ***@mcmcllc.com. To view Kristy Whalen's full email address, please signup to ConnectPlex.
Kristy Whalen works in the Hospital/Clinic industry.
Kristy Whalen's colleagues at MCMC are Sharon Spaugh, Kathy Hawkins, TOM LEACH, Pamela Pfeiffer, Carol McMullen, Ben Carroll, Vickie Coon and others.
Kristy Whalen's phone number is (800) 227-1464
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