Anyone work with MRIoA?

[MedMan80]

Medical review institute of America, presumambly doing insurance peer review work. Their rates seem pretty low..anyone chime in?

---

Members don't see this ad.

 

[comp1]

Wow, they really should pay you more for your soul...

 

[MedMan80]

Wow, they really should pay you more for your soul...

Could be decent experience, I wouldn't hang around long if pressured to deny legitimate claims.

 

[ObsequiousAplomb]

What rates are we talking?

 

[MedMan80]

~150/hr

 

[FatherPsychiatry]

Wow, they really should pay you more for your soul...

What rates are we talking?

I cracked up way too much reading this sequence of posts

 

[Stagg737]

Could be decent experience, I wouldn't hang around long if pressured to deny legitimate claims.

I'd be curious about that pressure and how easily they'd fire you if you weren't denying enough claims. I've worked with some very reasonable and kind reviewers who probably gave us more days than policy would actually dictate (mostly coverage on geriatric rocks waiting months for placement after acute stabilization). Always wondered how long those docs stuck around in their roles...

 

[splik]

I haven’t worked with this company but these are standard rates. It’s not usually hourly though it’s per case which could do take more or less time. These are independent review companies so you aren’t working for the insurance company this is where the insurance company has already denied at least once if not more and it goes to external review. You still have to follow the plans guidelines but it’s basically doing medical necessity reviews for inpatient, iOp/php, residential, wilderness medicine, TMS and occasionally PAs for meds. You have to cite the literature or recognized guideline in your opinion. There are many such companies some focus on Medicaid plans some more commercial. It is good experience if you want to do UM for insurance companies, understand more about how these work etc

I used to do some of this where the cases might go to trial as few psychiatrists were willing to do those cases and I could set my expert witness rates. Otherwise it doesn’t pay well but can be nice to do during downtime of an inpatient or C-L gig or even if you’re building up your pp.

Usually the work is sporadic and you need to accept everything or the nurses won’t bother reaching out to you. Most people need to work with multiple of the review companies to get enough work if you want it to be a significant amount of income.

It was good experience for me for my CDI consulting business but I haven’t worked for these companies in many years since it doesn’t pay well and i have more lucrative gigs

 

[Merovinge]

I haven’t worked with this company but these are standard rates. It’s not usually hourly though it’s per case which could do take more or less time. These are independent review companies so you aren’t working for the insurance company this is where the insurance company has already denied at least once if not more and it goes to external review. You still have to follow the plans guidelines but it’s basically doing medical necessity reviews for inpatient, iOp/php, residential, wilderness medicine, TMS and occasionally PAs for meds. You have to cite the literature or recognized guideline in your opinion. There are many such companies some focus on Medicaid plans some more commercial. It is good experience if you want to do UM for insurance companies, understand more about how these work etc

Can you speak at all about this. I didn't realize wilderness was ever covered by insurance or what literature basis anyone was using to cite coverage for it. There are some (very outlying) cases where I had wished the patient would have access.

 

[MedMan80]

Pay is actually closer 120 per hour once one becomes proficient. Peer to peer calls are like 15 bucks. Might take it on just to get the experience.