Ensure appropriate billing and prevent over-servicing
SECOND MEDICAL OPINION
Treatment & Claims Audit. How medical treatments can be better managed
Out Patient Services
Cashless Out Patient Care Services
G P Family Physician Clinics Specialists Clinics in Hospitals
Professional Review of Admissions
Issue GL for Insurers & Corporates Hospital Billing Audit Services
Targeted Wellness Screening on Site Vaccination Services Mental Health Assessment
Medical Examination Commercial Drivers License For Insurance Companies
Consultance for EB
Employee Health Benefits Focus on Patient Safety
Second Opinion & Emergency
2nd Opinion Services Emergency Medical Assistance & Evacuation
Migrant Workers Consultancy
Migrant Worker Audit Occupational Safety Solutions
First Aid Factory Clinics
Set-Up & Manage In Plant First Aid Centre In Plant Quick Care Clinics
e-MAS Cost Containment
Limit Daily Visits
Max Limit Per Visit
Dispense Medications In-House / Via Pharmacy
Benefits to the HR or Insurer
- Contain uncontrolled & unwarranted medical expenses
- Making healthcare delivery accountable
- Easy Single platform for access to medical bills and records
- Customisable Employee Benefits
- Integrated systems for seamless member & information management
- Reduced HR Administrative Workload
- Single Payment Mechanism for Finance
- Data driven analytics to better understand medical trends within the company
Years, Our experience in serving various companies for the past 25 years enables us to come up with unique solutions to your needs.
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Patient presented herself with referral from GP with Right Hypocondrial Pain. Admission Request was sent with no imaging reports and no plan to perform ultrasound but with treatment plan to perform Laparoscopic Cholecystectomy (Gall Bladder Removal).
Medical Review Team Action:
Review of admission request form showed that patient had no chronic illness, claims history showed no prior incidences that could lead to Cholecystitis. Therefore, requested for Ultra Sound of Gall Bladder.
Ultrasound report showed no evidence of Gall Bladder inflammation. Liver was normal with no lesions or calculi. Pancreas and Spleen was normal. Patient was treated as outpatient and send home.
Total Saved was a Gall Bladder and RM 7,000.