“An independent review organization (IRO) acts as a third-party medical review resource which provides objective, unbiased medical determinations that support effective decision making, based only on medical evidence. IROs deliver conflict-free decisions that help clinical [patient care] and claims management professionals better allocate healthcare resources.” 
– National Association of IROs

Good question. Whether your organization is a health system or insurance company, IROs often build value by

• Providing access to networks of doctors specializing in unique and complex care.
• Lowering the cost of maintaining and recruiting in-house medical subspecialties and behavioral health experts for reviews.
• Building more efficient, independent support for applying medical necessity criteria

Glad you asked, because BHM stands apart from most IROs in a number of ways.

Below are just a few. Hover over each and see how they benefit organizations, like yours:

Utilization review contains three types of assessments: prospective, concurrent, and retrospective. BHM expertly handles all aspects, including appeals.