Dr. Skip's Medical Peer Review Blog: Types of cases reviewed by Independent Review Organizations (IROs)
Saturday, May 20, 2006
Types of cases reviewed by Independent Review Organizations (IROs)
What types of cases are reviewed by independent review organizations for its payer and preauthorization clients? There's a long list that I'll try to include here: Medical necessity determinations, standard of care, health plan language interpretations, hospital length of stay, experimental treatment reviews, investigational treatment reviews, physician credentialing reviews, hospital peer reviews, disability reviews, workers comp reviews and property and casualty medical claims reviews.
