A FEW ADVANTAGES TO USING OUR MTM SYSTEM:
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System Is delivered by an interdisciplinary MTM team led by a qualified pharmacist and other healthcare professionals with the required expertise.
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Developed with 100% compliance to CMS requirements and optimized to remove flaws and deficiencies of other similar systems.
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Regular provider and beneficiary follow ups to ensure quality and in keeping with our ISO certifications.
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Periodic targeted drug reviews for monitoring patient usage to identify potential abuse
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Comprehensive one to one medication review to identify issues/problems in therapy/medications.
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Algorithm driven automatic identification of drug conflicts including but not limited to drug-drug interactions, therapeutic duplication, drug allergy interactions, drug disease interactions and adverse drug reactions.
SEE WHAT OUR CLIENTS SAY
Our KPI’s are among the very best; no other medical billing company can approach our low cost. Medical Management Efficacy offers all or any part of the revenue cycle.

Their expertise across various process areas in the PDP/MAPD domain and unique cost structure puts them in an incredible position to work with plans throughout the healthcare industry.

Your team amazed me with the manual and the amount of info you provided with that short training session. The efficiency of your systems and the cost reductions will be key to our business.

I was always against the idea of outsourcing our back end claims processing work but I was wrong. They provided extraordinary deliverables on a timely basis which led to cost cutting considerably for us.