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MedFocusOnline home aboutus
Credentialing
Privileging
Functions as medical group
Medical group with on-site, full time MRI radiologists, orthopedist and neurologist at MedFocus home office
Centers of Excellence
Administrative staff with Group health and Workers' Compensation experience.
"Med-Coordinator" - Our advanced interactive software system
Flexibility
CREDENTIALING
  • Primary Source Verification of Medical Providers to NCQA Standards and Site Visits of Busy Facilities
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    * NCQA (National Committee for Quality Assurance):  independent, non-profit organization that assesses and reports on the quality of care delivered by managed care organizations. Click here to link to NCQA home Page 

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PRIVILEGING
  • Optional program that rates the Radiology Sites by the training of the Radiologist(s), Equipment and Service.  

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FUNCTIONS AS MEDICAL GROUP
  • Medical Director Licensed in California, Connecticut, Florida, Georgia, New Jersey, New York, Ohio, and Pennsylvania.
  • In California, Medfocus is a medical corporation, complying with the recent California Attorney General opinion letter on the corporate practice of medicine.
  • In New York, being a professional corporation means Medfocus is in compliance with Article 45, which is a requirement to be a legal medical referral network.
  • Professional licensing makes Peer Review and Utilization Management Services more credible. 

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MEDICAL GROUP WITH ON-SITE, FULL TIME MRI RADIOLOGISTS, ORTHOPEDIST AND NEUROLOGIST AT MEDFOCUS HOME OFFICE
  • The MRI neuroradiologist and MRI skeletal radiologist are both on the clinical staff of U.C.L.A. Medical School Radiology Department following two year fellowship training programs beyond their residencies.
  • The orthopedist is a Harvard graduate with an Orthopedic fellowship also at Harvard. He has years of experience in managed care and workers' compensation.
  • The neurologist is a clinical professor at U.C.L.A. Medical School and has an advanced degree in neuroelectrophysiology. He wrote some of  the  original research papers on nerve conduction studies. 

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CENTERS OF EXCELLENCE
  • Beyond NCQA* Standards of Credentialing and Quality Assurance Programs

  •   * NCQA (National Committee for Quality Assurance):  independent, non-profit organization that
    assesses and reports on the quality of care delivered by managed care organizations.
    Click here to link to NCQA home Page 

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ADMINISTRATIVE STAFF WITH GROUP HEALTH AND WORKERS' COMPENSATION EXPERIENCE
  • Over 100 combined years of group health and worker's compensation claims experience.
  • The Operations Director is a nurse who has :  

  •           A. Extensive claims background  
              B. Managed the MedFocus orthopedic group  
              C. Managed the MedFocus national radiology program  
  • The Operations Manager has a Masters in Business Administration (MBA) and a comprehensive background in risk management and human resources. 
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MED-COORDINATOR - OUR ADVANCED INTERACTIVE SOFTWARE SYSTEM
  • Tracks the patient from scheduling through study acquisition, billing and reporting. 
  • Utilization of Mapping Software that finds the closest quality site to perform the requested studies.
  • Sends appointment letters to the medical case management nurse, claims examiner, and referring physician; if time permits, a letter is mailed to the patient in English or Spanish.
  • Tracks the radiology reporting to assure reports are received by MedFocus for review and then faxed to medical management nurses within 2-3 days of the scan date.
  • Provides encounter, savings, outcomes and other reporting.
  • Has EDI capabilities for bills, reports, reimbursements and other information. 

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FLEXIBILITY
  • Provide customized services and systems to meet client's specific needs. 

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