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    April 24, 2025

    What AI Can—and Can’t—Do in Medical Record Review

    There’s a lot of conversation about AI in the legal and insurance industries right now—some of it exciting, some of it overstated, and some of it understandably skeptical. 

    When it comes to medical record review, AI is already playing a supporting role in how teams work—but it’s important to know exactly what it can (and can’t) do. 

    Let’s break it down. 

    What AI Can Do 

    AI tools like MCSDirect+  are designed to take on the parts of record review that are often tedious, repetitive, or time-consuming. That doesn’t mean it replaces your work, it means it clears the path so you can get to the meaningful parts faster. 

    Here’s what AI can reliably help with: 

    • Aggregate multiple sets of records and sort all entries chronologically: Automatically organizing all case records by date to provide a complete chronology of all entries in the set of records 
    • Condensing information: Creating summaries that surface key details without requiring hours of manual review 
    • Eliminating unnecessary pages such as correspondence, cover sheets, duplicate pages, etc.: Reducing bulk so you can focus on what’s relevant to your case 
    • Adding hyperlinks: Allowing you to jump directly to correct page of the correct record and back to locate specific details  
    • Reduce Expert costs: The right AI summary tool can reduce the volume of pages that you need to send to experts as you can easily locate the pages in question. 

    These features can dramatically speed up the early stages of a review and make it easier to get oriented, especially when working under tight deadlines or managing a high volume of cases. 

    What AI Can’t Do 

    For all its capabilities, AI still lacks one important thing: context. It doesn’t understand nuance, it doesn’t make judgment calls, nor does it replace a trained eye. 

    AI can surface the data, but it can’t tell you what that data means in the broader context of a case or claim. That requires human expertise. 

    At The MCS Group, we see MCSDirect+ as a tool that supports professionals, not one that tries to replace them. It’s meant to handle the busy work so you can do the work that really matters. 

    Why Human Oversight Still Matters—And How MCSDirect+ Delivers It 

    Not all AI tools are created equal. Some stop at automation—but MCSDirect+ was built with human oversight baked into the process. 

    Our experts review and validate the AI’s output, catching inconsistencies, correcting formatting issues, and confirming accuracy. This human review is especially important when dealing with tricky data points like dates, which can appear in inconsistent formats across different providers and systems. 

    Without this level of human review, AI tools can easily misinterpret or misplace key information—and that’s a risk we’re not willing to take. 

    With MCSDirect+, you're not just getting an AI-powered tool. You're getting a review process grounded in real expertise, where humans check what the machines produce before it ever reaches your desk. 

    The Bottom Line 

    AI in medical record review is an asset—but only when it’s used with a clear understanding of its strengths and its limitations.  

    It can help you move faster, access cleaner summaries, and reduce manual tasks—but human expertise is still at the core of good work. With MCSDirect+, we’re not trying to change that. We’re just trying to make it easier for you to do what you do best. 

    Want to Learn More about MCSDirect+?

    Connect with us today and see a demo of MCSDirect+ in action!

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