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Quality Objectives
  • Med-Cert will continue to provide prompt and efficient Utilization Review and Case Management Services to its customers.
  • Med-Cert will maintain a 95% or greater compliance with all AAHC/URAC Standards.
  • Med-Cert will provide objective data demonstrating effectiveness of its medical management company as requested on a monthly, quarterly and/or yearly basis.
  • Med-Cert will endeavor to maintain an overall average length of stay consistent with the 50th percentile for the Western Region of the United
  • States while maintaining AAHC/URAC standards.
Vision

MED-CERT IS COMMITTED TO BEING A LEADER IN MANAGING HEALTH CARE QUALITY, COST, AND PROVISION IN THE AREAS OF SELF-FUNDED AND FULLY INSURED MEDICAL CLAIMS.

Mission

OUR MISSION AS A MEDICAL CLAIMS MANAGEMENT COMPANY IS TO CONSTANTLY DEVELOP NEW AND ENHANCE ALREADY DEVELOPED MEDICAL CLAIMS MANAGEMENT PROGRAMS AND SERVICES WHICH WILL ALWAYS ENSURE THE PROVISION OF THE HIGHEST QUALITY, MOST APPROPRIATE, MOST COST EFFECTIVE HEALTH CARE THROUGH ASSESSMENT, PLANNING, COORDINATION, IMPLEMENTATION, AND EVALUATION.
Privacy Statement
    Facts
  • Began business in Nashville, TN, moving with growth to Tampa, FL
  • Provides service for self-funded and fully-insured employers
  • Precertification is easily accessed through its toll-free number, 1-800-356-7126, during the business hours of 8:00 a.m. through 5:30 p.m. EST, Monday through Friday, except holidays
  • Services are provided nationwide through an office located at 3853 Northdale Blvd., #344, Tampa, FL 33624
  • All programs are administered by licensed Registered Nurses with at least five years of experience
  • Areas of specialty are comprehensive
  • Physician oversight is provided by groups of Physician Advisors who are board-certified in various medical and/or mental health/substance abuse specialties
  • The Medical Director holds an unrestricted license and provides program direction and case consultation
  • All Med-Cert employees work closely together and with its customers payers
  • A team approach to medical management is the philosophy of services developed and provided
  • Expertise in coordinating care needs with fully-insured groups and all entities involved with self-funded groups (employers, TPA's, Stop-loss Carriers/MGU's, Brokers, etc.)
  • Extensive involvement in the managed care industry with a vast knowledge of informational, medical, and community resources
  • While Med-Cert staff is easily communicated with and accessed by the employer, strict standards of confidentiality are maintained at all times
  • Med-Cert serves as a health information resource to its clients, offering the client/patient information regarding wellness and disease management, as well as general data to the employer upon which to make their benefit management decisions

  •     Data Protection
  • We store our data in a fully redundant, state-of-the-art, tier 3 data center with multiple layers of physical and biometric security, fire supression, and private substation power with diesel generator backup. It also comes with 24/7 support and is certified by SAS 70 Type II independent audit.
  • In addition to the data center physical security, we provide multiple layers of redundant logical security surrounding our data. These include a state-of-the-art network security device, RAID 5 enterprise disk redundancy, and smart switches. Beyond simple passwords, administrative access to the servers is controlled with an audited, token-based two-factor authentication mechanism, similar to that used in banks and other high security environments. Finally, the server and network is actively monitored and managed using the newest, state-of-the-art IT management framework.
  • Only pre-screened, authorized employees and subcontractors can access certain data at pre-set authorization levels. Certain data is further protected using application-level passwords for spreadsheets, databases, accounting systems, email, etc.
 
© 2012 Med-Cert, Inc. All rights reserved