AllMed Healthcare – Medical Reviews, Peer Review, Independent Review Organization (IRO)
AllMed Healthcare Management, an Independent Review Organization (IRO) providing medical reviews and peer review services to healthcare payers, providers, claims managers, and hospital groups, has released its Summer 2005 edition of Medical Review News.
(PRWEB) August 2, 2005 -- AllMed Healthcare Management, an Independent Review
Organization (IRO) providing medical reviews and peer review services to
healthcare payers, providers, claims managers, and hospital groups, has released
its Summer 2005 edition of Medical Review News.
The newsletter contains
the following articles of interest to Claims Managers, Claims Administrators,
and Medical Directors at Health Plans, Third Party Administrators, Utilization
Review Companies, and Medical Management Companies.
Outlines of the
newsletter articles appear below. Click below to view and subscribe to the
AllMed Newsletter
http://www.allmedmd.com/company/newsletter/index.htm?source=prweb
.
Article #1— Removing Varicose Veins for Healthy Legs – Is It
Covered?
http://www.allmedmd.com/company/newsletter/05Jul/varicose.htm?source=prweb
*
Under what circumstances could varicose vein surgery be covered under health
insurance policies?
* What is the typical course of
treatment for varicose veins?
* What steps can a
doctor take to get varicose vein treatments covered by health
insurance?
* What alternatives are available to
patients that reject the “conservative” varicose vein course of treatment?
Article #2-- Laser Eye Surgery – Will Insurance Pay? Determining the
Medical Necessity of “Cosmetic” Treatments
http://www.allmedmd.com/company/newsletter/05Jul/laser.htm?source=prweb
*
When is refractive eye surgery medically necessary?
*
What conservative therapy options to Lasik are
available?
* How can doctors help patients get their
Lasik surgery covered by health insurance?
* How can
a “medical necessity review” performed by an Independent Review Organization
(IRO) assist in this process?
Article#3-- Outsourcing Preauthorizations
For Improved Outcomes
http://www.allmedmd.com/company/newsletter/05Jul/preauth.htm?source=prweb
*
Why should a medical management company or a managed care organization use an
Independent Review Organization (IRO) for
preauthorization?
* What value can an Independent
Review Organization (IRO) add to a preauthorization
determination?
* What types of cases are being sent
to Independent Review Organizations (IROs) for
preauthorization?
* What are some examples of
companies who have benefited from preauthorization review?
Article#4--
Update: IROs and the Hospital Peer Review Process
http://www.allmedmd.com/company/newsletter/05Jul/irohpr.htm?source=prweb
*
Why have hospitals had reluctance to outsource hospital peer
reviews?
* What benefits can hospitals gain by
outsourcing peer reviews to Independent Review Organizations
(IROs)?
* How does an Independent Review Organization
(IRO) handle a hospital peer review case?
* Are any
white papers available covering the topic of Hospital Peer Review?
AllMed provides medical opinions that quickly resolve complex problems
-- saving money while protecting the integrity of patient care. AllMed will
review chart notes and operative reports to render objective written opinions;
help you reach the right decision while reducing legal risk; apply your plan
language to the case, if appropriate, give you direct access to our physicians
for questions and follow-up on reviews; and supply clear, professional and
easy-to-read documentation. AllMed also applies the same high quality standards
to its hospital peer review, pharmacy review, medical bill auditing, and medical
director review services.
Click the link below to view and subscribe to
the AllMed Newsletter
http://www.allmedmd.com/company/newsletter/index.htm?source=prweb
.
About AllMed Healthcare Management
Founded in 1995, AllMed is a
URAC-accredited Independent Review Organization (IRO) serving insurers, medical
management units and third-party administrators nationwide. All reviews are
conducted by board-certified physicians in active practice. More information on
AllMed can be found on the company’s Web site at http://www.allmedmd.com/?source=prweb .
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Source : http://www.prweb.com/releases/2005/8/prweb266987.htm