Part 2 – Peer Reviews: NAIRO’s External Review Regulations
NAIRO’s External Review Regulations The National Association of Independent Review Organizations (NAIRO) was formed in 20012 by a group of URAC-accredited Independent Review Organizations (IROs). The group’s purpose is to provide uniform regulations from state to state by simplifying the regulated independent review organization application process and independent medical peer review requirements among the states. […]
Case Review: What is Case Review?
A case review, in the medical world, is the review of a patients care history to ensure that the treatment provided meets Medical Necessity Criteria, and is the optimum course of treatment for that particular patient and their situation.
Case Review: Top 5 Ways to Optimize Your Cases for Review
Case review: Discover the top 5 fast and easy ways to optimize your cases for review, decrease denials, and increase reimbursement.
Peer Review: What is a Physician Advisor Peer Review
Standard Review: What is a Standard Review
Standard Review Example A standard review in healthcare typically refers to a systematic and comprehensive assessment of a particular aspect of healthcare, such as a medical intervention, treatment, or healthcare policy. The purpose of a standard review is to gather and evaluate existing evidence to inform decision-making, improve patient outcomes, and contribute to the overall […]
External Review: External Utilization Reviews
What is IRO: Understanding Independent Review Organizations
The Importance of Engaging a Provider Solutions Transition Expert – Part Four
The Importance of Engaging a Provider Solutions Transaction Expert – Part Four
Is Your Organization Creative Enough to Meet the Challenges of Adversity? – Part Three
Is Your Organization Creative Enough to Meet the Challenges of Adversity? – Part Three
In Crisis Management, Your Silence is Deafening-Part Two
Choose BHM Healthcare Solutions For All Of Your Crisis Management Needs