MRCS is a HIPAA compliant medical record workflow automation and analytics platform for HEDIS (Hybrid, Off-season) and Risk Adjustment initiatives (Sweeps, Concurrent, RADV, Mock RADV, IVA).  The solution requires no new hardware or on-going maintenance. Our project management team can launch you quickly and efficiently therefore significantly reducing costs and speeding time to value.

The integrated platform is web-based, secure and provides complete real-time visibility into every aspect of the Medical Record Review (MRR) process.  Current modules include:

Provider Services – Scheduling and management of chart collection logistics for on-site Techs, Fax, Mail and electronic transfer.

Medical Record Intake – Automated process for quickly ingesting charts into the MCRS application.

Secure Virtual Print (SVP) – Enables medical records to be directly transmitted from an EMR to MRCS by a simple click of a button. 

Medical Record Quality Assurance – Ensures the charts are complete, legible and ready for medical record review before going to coding or abstraction.

Medical Record Review – Full risk coding and/or HEDIS abstraction support.

Overread – Configure overread percentages and personnel workflow assignments to ensure quality.

Audit Wizards – Automated process to present and prioritize audit results for packaging and uploading to regulatory bodies.

Analytics – Real-time visibility to project progress, performance status, and quality metrics. 




Here are some of the highlights of these features:

  • > Friendly User Interface
  • > Configurable
  • > Integrated Audit Tools
  • > Project-Centric
  • > Roles & Permissions
  • > Real-Time Analytics

Benefits of the MRCS workflow include: real-time analytics, comprehensive medical record retrievalencounter-based MR coding, concurrent review, and cost advantages.