About
Medical Matrix Systems, Inc.
MMS
was started as a technology company designed to provide innovative
utilization management solutions to Insurer’s and Managed
Care Organizations for chiropractic and physical therapy services.
The process of utilization management can be labor intensive and
disjointed from other key operational functions such as claims management
and peer review.
Our
focus is to design systems that leverage technology to reduce operational
costs, improve efficiency and reduce payments for unnecessary or
inappropriate services.
Daniel
E. Klemis, President
Dr.
Klemis has over 15 years of clinical experience in chiropractic
practice in addition to 5 years of managed care experience as the
Chiropractic Medical Director and Chief Operating officer of chiropractic
managed care networks. He has designed pre-authorization and clinical
claims adjudication systems for chiropractic and physical therapy
and participated in the process design for network credentialing,
utilization review and quality management. In addition to board
certification as a chiropractic neurologist, Dr. Klemis has training
in clinical informatics, clinical algorithms and tools and methods
of quality improvement. He also holds the distinction of being one
of the few chiropractors to receive hospital privileges while he
was in active practice.
Betsy
Rychlewski, RN, MBA, Vice President
Betsy
Rychlewski has 24 years of clinical nursing experience and 15 years
of diverse managed care experience. As a former VP of Managed Care
for Conseco Managed Care and Pioneer Life Insurance Company, her
expertise encompasses utilization management, network development,
network contracting and management skills.
Mark
F. DeLorenzo, Vice President
With
22 years of clinical experience and 18 years in utilization review,
Dr. DeLorenzo has served as the Chiropractic Medical Director of
a multi-disciplinary IPA, and has been a member of a National Quality
Improvement Committee. In addition, he has established chiropractic
credential criteria and protocols for two major HMO’s. |