Improving Healthcare Together
An independent review and utilization management organization since 1995, AllMed Healthcare Management is mission-driven to improve the quality and integrity of health care. Every day, our diverse panel of physician reviewers and dedicated employees work together with leading payers and providers to deliver evidence-based clinical decision-making that provides patients better access to appropriate care while controlling overutilization.
Comprehensive Clinical Decision-Making Services
UTILIZATION Review & APPEALS FOR PAYERS
Pre-authorizations, continuation of care, and appeals are increasingly a challenge for many payer organizations. With a scarcity in nursing and physician adviser resources, plus volume fluctuations, it’s increasingly difficult for many organizations to adequately staff for and manage these critical functions. AllMed supports utilization review and appeals departments and medical director coverage, providing flexible services that align and integrate with your workflows.
Clinical decision-making services include:
External Peer Review For Providers
Hospitals and provider organizations work with AllMed to optimize their peer review process to ensure consistent, high-quality patient treatment. AllMed offers independent expert determinations that augment provider organization’s peer review processes with high-quality, specialty-matched peer reviews. Learn more
Featured Resources
August Webinar
AllMed’s next thought-provoking medical necessity webinar is scheduled for Aug 29th on Applied Behavior Analysis (ABA) Therapy for Autism.
Learn more and register
Want to catch a replay of prior IRR quality webinars? Explore and view on-demand
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