Quality Review Concepts LLC

Location:

111 Smithtown Bypass Suite 120HauppaugeNew York11788United States View Map

Revenue:

$2.4 Million

Employees:

12

Phone:

(631) 406-6514
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Description:

Quality Review Concepts LLC, DBA QRConcepts, was founded in 1995 by Nancy Cerbone and Marge DiBenedetto. As experienced Registered Nurses with many years serving one of the largest NYS Workers' Compensation carriers, Ms. Cerbone and Ms. DiBenedetto, were uniquely situated to bring their talents and experience to the larger Carrier arena. With the mission statement, "Excellence, Integrity, Service", QRConcepts was formed as a medical bill auditing company serving the Workers' Compensation and No-Fault Carrier communities. QRConcepts' distinctive auditing methodology resulted in proven and unprecedented savings for their clients. Success led to growth and, the addition of more registered nurses and certified medical coders trained in QRConcepts' methodology. Over time, the needs of their clients plus changes to the NYS Workers' Compensation law resulted in an expansion of QRConcepts' basic services. Today, their professional staff performs many additional functions in service to the medical aspect of the claim. These can include file reviews, variances, appeal letters, fee negotiation and telephonic nurse case management. QRConcepts' continued expansion, and one for which it is particularly excited, includes new proprietary software that applies the NYS WC Medical Treatment Guidelines for each claim while tracking treatment and outcomes. This software makes the Guidelines and their application comprehensible as it maximizes allowable savings, tracks treatment, and a claimant's progress. Moreover, QRConcepts' clients now have the option to continue to outsource all medical billing or, to access this software via a client portal for in-house review. Whichever service path a client chooses, or wishes to create, QRConcepts' professional staff is ready, willing, and able to meet the needs of the medical claim.

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