Dr. Skip's Medical Peer Review Blog: Making UR & Claims Determinations Easier for Healthcare Payers

Wednesday, February 06, 2008

Making UR & Claims Determinations Easier for Healthcare Payers

If you're a utilization review or claims professional dealing with acute or chronic care populations, you probably deal with lots of cases that fall outside your normal criteria or plan language, and into the "gray zone." As you know, the standards of care are rapidly changing with emerging medical treatments, new technologies , drugs, etc. As a managed care professional, it's impossible to stay up on all of the latest changes in care management. What to do?

We've created a publication called "The Cutting Edge," which is designed to help critical and complex claims professionals stay on top of changing standards of care. Each issue features articles written by top specialists who are experts in their respective fields, who are board certified and in active practice. In these articles, you'll find information that will help you make more informed retrospective and pre-certifications decisions, based on the latest medical evidence.

Interested in signing up to receive a free copy? Click here: http://www.allmedmd.com/peerpoints/cuttingedge/cutting_edge_form.htm