AllMed understands how government programs, including turn-around time and compliance requirements, can impact your business. We help our clients pass their accreditation and compliance audits. Our reviewers have expertise in using various criteria, from policies and guidelines to local and national coverage determinations.
INITIAL CLINICAL REVIEW
Scale quickly and efficiently to meet changing demand for initial nurse prior authorization and concurrent reviews. Delegating these reviews to AllMed frees your clinical staff to focus on higher value-added initiatives.
FOR MEDICARE AND MEDICAID
Flexible, evidence-based reviews, designed to meet your changing needs and ensure compliance with industry, state, and federal requirements while delivering members the highest level of appropriate care.
SPECIALTY MATCHED PRIOR AUTHORIZATIONS
Minimize the need for downstream appeals and costs with customized, specialty-matched authorization reviews. Draw on the expertise of our highly qualified physician peer reviewers for complex, evidence-based determinations.
These comprehensive, high-quality reviews follow federal and state regulations and are monitored and managed through our in-house compliance program.