Some organizations use internal physician advisors and Medical Directors for managing first and second-level appeals. However, with more pressure to reduce costs, improve quality, and avoid conflicts of interest, they are increasingly turning to AllMed to manage these clinical decision-making processes. By leveraging our Independent Review Organization (IRO) services, it allows you to focus on your core competencies while relying on us to support your clinical decision making. AllMed is expertly equipped to manage the rigorous tasks of physician specialist credentialing, performance management, quality oversight, and scalability that is needed in today’s hyper-competitive landscape.
All reviews are conducted by board-certified specialists and sub-specialists who are in active practice. Each appeal review is performed in compliance with URAC, NCQA, CMS, state, and other federal regulations, which are subject to oversight and audit through our Quality and Compliance programs.