MedReview Inc.

MedReview is proud to announce the acquisition of Vital Data Technology, the premier provider of advanced healthcare payer workflow and data technology. This integration of technology and expertise into the MedReview family is driven by a shared commitment to innovation and enhancing the value we provide to our healthcare payer partners. Read our announcement here: https://lnkd.in/eVHSZKKe

We are set up and ready in Dallas for the Medical Cost Containment Series! If you are walking the floor, keep an eye out for booth 10 (pictured here). Stop by for a cookie, to discuss your payment integrity challenges, or learn more about our Human-in-the-Loop approach to AI. 💡 #MCC #MedicalCostContainmentSeries #HPRI #PaymentIntegrity #HumanInTheLoop #MedReview

Heading to Dallas this week for the Medical Cost Containment Series? Stop by booth 10 to say hello or learn how we can help you stop financial leakage before revenue walks out the door. Learn more here and schedule a meeting with our team: https://lnkd.in/ekpJwA6m #MCC #MedicalCostContainmentSeries #HPRI #PaymentIntegrity #HealthcareInnovation #MedReview

When researchers asked an AI to analyze medical imaging, it “identified” a brain structure that doesn’t exist. Imagine that level of error applied to payment decisions. In healthcare payment integrity, speed without accuracy is dangerous. Unchecked AI has already led to lawsuits over unfairly denied care and growing regulatory scrutiny. That is why Human-in-the-Loop (HITL) AI is not an option, but rather a necessity. At MedReview, our HITL approach ensures: ☑️ True Accuracy - Human experts validate AI findings, preventing systemic errors. ☑️ Transparency - We eliminate the "black box" problem with explainable, defensible human reviews, aligning with rules like the HHS HTI-1. ☑️ Adaptability - Our clinicians train the AI to recognize evolving fraud schemes faster than automation alone. Learn why blending automation with human judgment is the only ethical and effective path forward. Read our new blog: https://lnkd.in/ebuVNqJ9 #HumanInTheLoop #AI #PaymentIntegrity

MedReview closes out the year with gratitude in our hearts. We wish you and yours the very best this holiday season! ✨

AI holds great promise for payment integrity and fraud detection, yet the constant changes and complex nuances of healthcare don’t play to its strengths. How do you incorporate AI while ensuring results are accurate, defensible, compliant, and engender trust from providers? Watch our on-demand webinar on “The Payment Integrity Shakeup: Taking AI in a Human Direction” with the Illinois Association of Medicaid Health Plans (IAMHP) to learn more. https://lnkd.in/e855te3N #paymentintegrity #humanintheloop

MedReview is thrilled to announce the appointment of Dutch Noss as our new Senior Vice President of Operations. With over 25 years of leadership in payment integrity, Dutch brings deep expertise at the intersection of technology, healthcare, and strategy. His experience spans both clinical and non-clinical audit operations across pre-pay and post-pay environments for federal, commercial, Medicare, and Medicaid payers. In his new role, Dutch will lead enterprise operations and drive strategic development initiatives across the organization. We’re excited to welcome him as a vital addition to our payment integrity leadership team. Learn more here: https://lnkd.in/eqrvXyRH

Exciting News! MedReview is proud to announce that we are attending this week’s New York Association of Health Plans (NYHPA) Annual Conference. 🏙️ This event brings together leaders and innovators in healthcare to discuss strategies, share insights, and collaborate on improving health outcomes for all New Yorkers. We’re looking forward to engaging with industry peers, exploring new ideas, and contributing to conversations that shape the future of healthcare, such as MedReview’s unique Human-in-the-Loop payment integrity model. In this fast-paced, innovative, AI-centered world, MedReview’s delivery model deploys balanced sophisticated technology while ensuring clinical professionals are at the helm, making medical decisions, and not machines. Join Tim Hanlon to discuss ways to truly elevate your health plans' payment integrity results, develop a solid prepay claims review program, and meet your health plans' recovery and claim payment accuracy goals for 2026! Learn more: https://lnkd.in/eaYUkXHt #NYHPA #NYHPA2025 #HPA2025 #paymentintegrity

NHCAA 2025 kicks off today in Music City, and we’re excited to once again be a Platinum sponsor. 🎸 MedReview will have a team of experts on physician-led payment integrity at Booth 522/524. Also, don’t miss our CEO, Spencer Young, who will discuss “The Payment Integrity Shake-Up: Taking AI in a Human Direction” on Thursday, Nov. 20, at 2:45 p.m. CST in Ryman Ballroom A. If you’re in Nashville this week, come say hello! Learn more: https://lnkd.in/eh4EXXdP #NHCAA #NHCAA2025 #ATC2025 #paymentintegrity

Artificial intelligence holds great promise for healthcare fraud detection and payment integrity. Yet even the most advanced AI models cannot replace human judgment when evaluating the highly complex, nuanced, and often ambiguous clinical information at the heart of both programs. In his presentation at the NHCAA annual training conference, MedReview CEO Spencer Young will outline the limitations of an AI-only approach and discuss why adding a Human-in-the-Loop drives more accurate outcomes and greater quality. ✅ Spencer’s presentation takes place at 2:45 p.m. Thursday, Nov. 20, in Ryman Ballroom A. Meanwhile, come see us at Booth 522/524 or schedule a meeting: https://lnkd.in/eh4EXXdP #NHCAA #NHCAA2025 #ATC2025 #paymentintegrity