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Learn about The Joint Commissions new standards

This FREE guide covers the new Joint Commission Standards and how external peer review can help keep your hospital in compliance.

Joint Commission Standards Guide to Hospital Peer Review

 

The Cutting Edge our Medical Management Guide - Treatment of Multiple Myeloma

This informative guide for Utilization Review and Claims Managers, includes medical updates on the following topics: Treatment of Multiple Myeloma; Early Penile Rehabilitation Following Radical Prostatectomy; Insulin Pumps: Deciding When They Are Medically Necessary; Does Shockwave Therapy Help Plantar Fasciitis; and Adult Growth Hormone Deficiency.

The Cutting Edge our Medical Management Guide

This Cutting Edge Guide provides clinical updates for Utilization Review and Claims Professionals on the following topics: Solitary Pancreas Transplantation; Lyme Disease: What's the Benefit of Antibiotic Therapy for Long-Standing Symptoms; Eight Steps to Treating Combat PTSD; and Developmental Delay: How to Diagnose, Plan Exclusions

The Cutting Edge our Medical Management Guide - Oncology Edition

This Cutting Edge Guide contains Oncology related articles for Utilization Review and Claims Professionals on the following topics: PET Scanning in Oncology, Avastin Therapy in Oncology, MRI for Breast Screening and Diagnosis, and Avastin Treatment for Glioblastoma.

How IROs Support Utilization Review & Medical Management

Sorting Out the Patient Care Puzzle—The Role of IROs and Medical Management Companies

Utilization Review Case Study - Medical Management Preauthorizations

Learn how a leading medical management organization met the challenges of finding specialists that met state licensure requirements and increasingly strict state regulations by outsourcing to AllMed.

Independent Medical Review Case Study

Learn how Capital BlueCross uses AllMed as their Independent Review Organization to assist in making Medical Claims determinations.

Whitepaper - Best Practices in Hospital Peer Review

Whitepaper discusses why Peer Review is not working, and how and Independent Review Organization can help in the process.

Outsourcing Hospital Peer Reviews Improves Quality Management

Learn how Bay Area Hospital chose to outsource their peer review process to AllMed as they ran into conflicts of interest and response time issues when trying to handle the process in-house.

Improving Quality Management and Best Practices in Your Hospital with Peer Review

Datasheet on Improving Quality Management and Best Practices in Your Hospital

Download our Disability Claims Review Datasheet for an Overview of our Services Offered

Datasheet on Using Independent Review Organizations to Reduce Claims Cost

Download our Case Study and Learn How One Disability Insurer Uses AllMed

Case study on Educators Mutual Life Insurance Company who used AllMed to conduct Medical Reviews to ensure all deserving disability cases are paid.

The Cutting Edge V1I1

Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.

The Cutting Edge V2I1

Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.

The Cutting Edge V2I2 Oncology Edition

Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.

Utilization Review Guide

Sorting Out the Patient Care Puzzle: The Role of IROs and Medical Management Companies

Utilization Review Case Study

Learn how a leading medical management organization met the challenges of finding specialists that met state licensure requirements and increasingly strict state regulations by outsourcing to AllMed.

Independent Medical Review Case Study

Discover how one Healthcare payer uses AllMed to help independently scrutinize their complex and questionable cases while maintaining quality and ensuring that patients are receiving the best possible care.

Best Practices in Hospital Peer Review

This whitepaper explains the problems that can arise from conducting in-house peer reviews, and how external peer review can be a great low cost alternative.

Independent Medical Review Data Sheet

AllMed Healthcare Management provides medical review solutions that accelerate pre-authorizations, claims and appeals and that reduce costs for health insurance carriers, medical management, TPAs and stop-loss organizations. Our outsourcing solutions cover a spectrum of needs, including first-level pre-authorizations, complex and critical claims, appeals, medical director services and staffing services.

Hospital Peer Review Case Study

Learn how one hospital chose to outsource their peer review process to AllMed as they ran into conflicts of interest and response time issues when trying to handle the process in-house.

Hospital Peer Review Data Sheet

Want to improve the quality management in your hospital? Discover the four key reasons for choosing AllMed for your Hospital Peer Review needs.

Disability Claims Review Data Sheet

Ensure your claimants get the coverage they deserve with independent medical review to reduce claims costs and makes the fair decision, every time.

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Using External Peer Review to Surpass OPPE Standards

JFK Case Study

Meeting OPPE Standards

This case study explains how one Florida hospital implemented its own process to meet the Joint Commission’s new standards for Ongoing Professional Practice Evaluation and use AllMed to support their process.

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Download our Medical Review Standards Guide

 

Medical Review Standards Guide

Download this guide and learn how to improve the quality and consistency of medical review determinations.

Learn how to Minimize your Hospital's Risk with this Whitepaper

 

External Peer Review as a Risk Minimization Strategy

 

Get our Case Study on Using Outside Specialists to Pre-Approve Services

Case Study Q-Elements

Using Outside Specialists to Pre-Approve Services

 

Learn how IRO's Help Meet Rigorous State Appeals Guidelines

Case Study on HealthGuard of Lancaster, Inc.

IRO's Help Meet Rigorous State Appeals Guidelines

Case Study of HealthGuard of Lancaster, Inc.

Download our Peer Review Scorecard©

 

Peer Review Scorecard

 

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Webinar: Creating An External Peer Review Policy

Want to learn how to use external peer review to meet the new 2007 JCAHO standards for credentialing and performance improvement? This is the one Webinar you can't afford to miss. Join Dr. Skip Freedman and Andrew Rowe for a hour long webinar giving you the tools you need to develop an effective peer review policy. Learn how the JCAHO Standards for 2007 are prompting hospitals to rethink and rewrite external peer review policies in order to improve quality and patient safety.

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HPR Landing Pages

 

Download Our Brochure: Learn How to Surpass Both OPPE & FPPE Standards with PeerScore

PeerScore® helps hospital groups and ASCs measure, monitor and compare practitioner performance, while fully meeting OPPE & FPPE accreditation standards. Customized to fit your needs, PeerScore is a suite of external peer review services that gives your organization a complete solution, from periodic reviews to ongoing evaluation programs.

PeerScore Brochure

 

Learn the Codes of Conduct and Medical Staff Peer Review with this Guide

This 7 page article written by Steven Schnier from Hanson Bridgett LLP, discusses recent "Codes of Conduct" that The Joint Commission has put forth for following up on sentinel events.

Codes of Conduct and Medical Staff Peer Review

 

Podcasts

 

The Cutting Edge - Pediatric Developmental Disorders

 

Download The Cutting Edge Medical Management GuideDesigned as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.

Designed as a clinical update for Claims and Utilization Review Professionals this guide is geared to inform them on the latest treatments, hot topics, and their medical necessity.

PeerPoint Signup Form

 

Webinar Slides for Pediatric Disorders

 

The Most Advanced Medical Peer Review Portal On The Market

 

PeerPoint Datasheet

PeerPoint® is AllMed’s state-of-the-art technology platform that is designed to deploy medical review services to both payer and provider organizations. It’s everything you need to reduce cost and to minimize the time spent processing medical necessity review determinations and external physician peer reviews.

Cutting Edge Newsletter BRCA Testing

Download the latest Cutting Edge Newsletter for BRCA Testing

The Cutting Edge Newsletter BRCA Testing

 

Medical Review Solutions For Payer Organizations

 

Medical Review Solutions For Payer Organizations

AllMed Healthcare Management provides medical review solutions that accelerate pre-authorizations, claims and appeals and that reduce costs for health insurance carriers, medical management, TPAs and stop-loss organizations. Our outsourcing solutions cover a spectrum of needs, including first-level pre-authorizations, complex and critical claims, appeals, medical director services and staffing services.

PeerScore Brochure

PeerScore® helps hospital groups and ASCs measure, monitor and compare practitioner performance, while fully meeting OPPE & FPPE accreditation standards. Customized to fit your needs, PeerScore is a suite of external peer review services that gives your organization a complete solution, from periodic reviews to ongoing evaluation programs.