BHM Services

Peer-to-Peer Review Pitfalls & Solutions

2022-12-14T15:49:19-04:00By |IRO, Physician Advisor/Peer Review, Services|

A Peer-to-Peer Review is a conversation between two healthcare professionals, usually licensed doctors, over the phone discussing a patient’s case. The Peer-to-Peer (P2P) process is used to explain or clarify something the clinical record cannot convey clearly. The core of a P2P call basically focuses on matching medical necessity criteria with reimbursement criteria.

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