AllMed Healthcare: Ten Reasons To Use An Independent Review Organization (IRO)
June 28, 2006 — AllMed Healthcare Management Medical Director Skip Freedman has recently authored a feature article “Ten Reasons To Use An Independent Review Organization (IRO)” that is featured on the AllMed Healthcare website. The article may be viewed by clicking the following link: http://www.allmedmd.com/resources/articles/top10.html
Increasingly, healthcare providers, insurers, medical directors and case managers are turning to Independent Review Organizations (IROs) to collaborate on the decision-making process for medical claims. At question, however, is when in the decision-making process does this make the most sense? Here are 10 instances where use of an Independent Review Organization should be considered:
1. Your case is in a highly specialized area
2. Your case has a high risk of appeal
3. Your case may be litigated
4. Your cost of a claim or treatment is high
5. Your case seems suspect
6. Your organization is subject to state or federal deadlines
7. Your claims and reviews are piling up on your desk
8. You need an impartial review
9. You believe the treatment is experimental
10. You have a shortage of specialists on staff
Using an Independent Review Organization is an efficient and defensible way to manage a health plan properly for both the insurer and the patient. As unbiased advocates for managing healthcare costs, Independent Review Organizations ensure that every claimant is properly served, every time.
More information on AllMed and the company’s peer review & medical review services can be found on AllMed’s web site at http://www.allmedmd.com/ .
About AllMed Healthcare Management
Founded in 1995, AllMed (http://www.allmedmd.com/) is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed’s growing customer base includes premier organizations, such as Educator’s Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers.