AllMed Healthcare Releases Its Winter 2004 / 2005 Edition of Medical Review News
December 10, 2004—AllMed Healthcare Management, an Independent Review Organization (IRO) providing medical review and peer review services to healthcare payers, providers, claims managers, and hospital groups, has released its Winter 2004/2005 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/newsletter/05Jan/pr/ .
Article #1—Cancer Treatment Claims Management / Claims Administration
- What is the difference between protocols for scientific experiments and medically accepted protocols for treatment?
- What are the 4 major types of cancer treatment?
- What is the role of an Independent Review Organization (IRO) in determining whether a cancer treatment is sanctioned or experimental?
- How can AllMed, as an Independent Review Organization (IRO) work with you in Cancer Treatment medical review situations?
Article #2— Does Shockwave Therapy Help Plantar Fasciitis
- How is Plantar Fasciitis caused?
- What are the typical treatment options for Plantar Fasciitis?
- How would external medical review specialists, such as AllMed, view an experimental treatment such as Shockwave Therapy — medically necessary or not?
- How can an investment in a medical review for Shockwave Therapy save an organization the cost of a 5-figure treatment?
Article #3— Managing Evidence-Based Self Insurance Plans
- What are the current trends in self-insurance for large organizations?
- How can AllMed, as an Independent Review Organization (IRO), assist self-insurance plans with ERISA Mandated medical reviews?
- How can Independent Review Organizations (IRO) such as AllMed assist medical management companies in complying with their legal duties towards patients?
- What services can AllMed, as an Independent Review Organization (IRO), provide a medical management company?
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/newsletter/05Jan/pr/ .
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.