Supplemental Medical Review Contractor
As the Supplemental Medical Review Contractor (SMRC), StrategicHealthSolutions, LLC (Strategic) is a centralized resource to conduct medical reviews of Medicare Part A, Medicare Part B, and Durable Medical Equipment reimbursement claims submitted by providers and suppliers throughout the United States. As the SMRC, we determine if Medicare billed claims were compliant with coverage, coding, payment, and billing practices. We also focus on lowering improper payments in Medicare Fee-For-Service (FFS) programs and increasing efficiencies in medical review functions.
For more information, visit the Supplemental Medical Review Contractor website.
The government says that an estimate of between 4 and 10 percent of Medicare dollars are funneled off in a fraudulent way. Through the work performed on this contract alone, millions of dollars are being identified as inappropriately paid medical claims and are being returned to the Medicare Trust Fund for future generations.