Medical Record Review
A Medical Record Review (MRR) is an evaluation of a member’s record according to:
- Format.
- Documentation.
- Continuity or Coordination of Care.
- Pediatric Preventive Services (if applicable).
- Adult Preventive Services (if applicable).
- Obstetric Preventive Care (if applicable).
The review evaluates criteria such as:
- Availability of essential member biographical information.
- Documentation practices.
- Quality as evidenced by consistent and/or coordinated management of health conditions and oversight of preventive services.
The following DHCS MRR Standards and MRR Tool are effective as of July 1, 2022.
The Alliance provides the resources in the list below to help your office meet MRR standards. You can use the checklist as provided or customize it for your own practice.
- MRR Provider Training 2022 (California Collaborative Site Review Training).
- Alliance Policy 401-1510: Medical Record Review and Requirements.
- Alliance MRR site checklist.
Contact Provider Services
| Provider Relations Representative | 800-700-3874, ext. 5504 |
| Practice Coaching | |
| [email protected] | |
| CBI Team | |
| [email protected] | |
Contact the Site Review Team
- Phone: 831-430-2622
- Fax: 831-430-5890; “Attention: Facility Site Review Team”
- Email: [email protected]
Provider Resources
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