MPRO. Michigan's Quality Improvement Organization
To improve the quality of health in 
the communities we serve through measurement, analysis, information, education, and change.
 
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Physician Reviewers

MPRO is seeking Physician Reviewers from all specialties to conduct quality care and utilization reviews for Medicare, State Medicaid Programs and independent external reviews. These reviews do not include medical liability cases or billing issues.

 

Physician Reviewer Benefits

 

MPRO Physician Reviewers:

 

  • Are offered challenging opportunities to use their medical knowledge to improve the quality of health care;
  • Enjoy competitive compensation;
  • Receive complete confidentiality;
  • Have the convenience of reviewing a case at home or at the office and;
  • Can join a pool of physicians who are leaders in their specialties.

Physician Reviewer Duties

  • Give final determinations regarding the medical necessity of admissions, the validity of diagnostic and procedural information, and quality of care issues;
  • Make fair and consistent decisions based on objective review of the documentation in the medical record or provided via the telephone for concurrent review;
  • Perform reviews at MPRO offices, or arrangements can be made for review within the consultants’ offices.

Physician Reviewer Qualifications

Physician Reviewers Must:

 

  • Have active Michigan medical licenses and actively provide care to patients at least 20 hours per week.
  • Have staff privileges at a Michigan hospital; and
  • Be board certified

Potential consultants are interviewed by MPRO’s Medical Director, James Mitchiner, M.D.

 

How to Apply

For further information contact:

Geralann Shields 22670 Haggerty Road, Suite 100 Farmington Hills, MI 48335 Phone: (248) 465-7361 Fax: (248) 465-7428

Email: gshields@mpro.org

 

 

 
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