5 Tips for Medical Directors

Whatever the title, Medical Director, CMO, or similar, the responsibilities loom large with little relief in sight. Burnout, recruitment, and retention might be a larger concern than medical necessity criteria, case shaping, and utilization management. The end of the ACA won't likely make things easier. With that in mind, here are 5 time-saving tips for medical directors.

Accredited IROs Promote a Transparent and Quality Review Process

If you are in the market for an Independent Review Organization (IRO) partner, looking for an IRO that is accredited is a great first step. Accreditation ensures that you receive the highest quality in service and support as well as an IRO who follow strict federal and state regulations. Accredited IROs must comply with important federal and state standards and timelines, ensuring you receive quality support that will help you create efficiencies for your peer review program.

5 Tips for Choosing a Peer Review Program

Choosing the right Peer Review Program can be difficult. It’s important to look for a Peer Review Program that distinguishes itself through quality work, ongoing training, full compliance, and the latest technology. You want to trust the organization you choose and make sure they are industry certified. Use these 5 tips to help you choose a Peer Review Program or use as a guide for your current vendor.

Does your review process protect against conflicts of interest?

Peer-to-Peer and Physician Advisory Review Programs are a crucial part of driving quality improvement throughout healthcare organizations. They are key to helping organizations maintain credibility and support effective unbiased reviews. Thanks to the Affordable Care Act, consumers expect unbiased review of their care through the claims and appeals processes. Independent Review Organization have now been placed in the forefront of the healthcare industry.

3 Ways An Independent Review Organization Can Save You Money

The role of the Independent Review Organization (IRO) in the appeals process is to provide an unbiased 3rd party opinion on complicated reviews, helping to assure that all reviews are given the time and care they deserve. It’s a common illusions in the healthcare industry that taking care of things in house is the best and easiest way to save money—however this isn’t true when it comes to claim reviews. If you are trying to manage your denials in-house, it can actually be counterproductive if you’re trying to save money and even time. Let’s take a look at how outsourcing your IROs can save you time and money.

2017-04-02T13:28:07+00:00 By |Uncategorized|

5 Things to Look For in an Independent Review Organization Partner

Choosing an Independent Review Organization (IRO) for a meaningful partnership that drives improvement and cost savings can be a tough task. The importance of an IRO to help support effective decision making and give objective, unbiased reviews, can be crucial to your business. To ensure you choose an IRO that distinguishes itself through quality work, ongoing training, full compliance, and the latest technology, you’ll want to do your research. It’s very important to trust the organization you choose and you always want to make sure they are industry certified. The following is a 5 part checklist for selecting the right IRO Partner.

Lunch & Learn: Join us for Workers Compensation: Keeping Claims on Track – a free webinar!

Would you like to learn how Workers' Compensation Organizations and Departments like yours are creating cost savings, improving efficiency, and decreasing claim costs? Join us Wednesday, April 13 at 12:00 PM EDT for a free lunch and learn event titled: Workers Compensation - Keeping Claims on Track. If you can’t make the event, don’t worry! Simply register for the web event to receive a recording of the event as well as a copy of the presentation after it is finished.

Did You Miss Our Free WebClinic Components of a Great Peer Review Program? We’re Relaunching it!

Join BHM experts Tuesday, December 15 at 12:00 PM CST for the complimentary webinar “Components of a Great Peer Review Program.” This not-to-miss exclusive event will reveal essential components that organizations need to create a Peer Review program that provides added and ongoing value to healthcare organizations.

3 Ways Independent Review Organizations Help Save You Money

We’ve been talking a lot lately about Independent Review Organizations and the appeals process that accompanies them. The role of the IRO in the appeals process is to provide an unbiased 3rd party opinion on complicated reviews, helping to assure that all reviews are given the time and care they deserve. It’s a common illusions in the healthcare industry that taking care of things in house is the best and easiest way to save money—however this isn’t true when it comes to claim reviews. If you are trying to manage your denials in-house, it can actually be counterproductive if you’re trying to save money and even time. Let’s take a look at how outsourcing your IROs can save you time and money.

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