Case Review: Internal Versus External Reviews
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. […]
Can You Benefit From an Automated Medical Peer Review Portal?
A medical peer review is a formal process in which care is reviewed to determine medical necessity. It can provide a means for an independent review organization (IRO) to review all of the documentation.
Healthcare Compliance – The Joint Commission’s Influenza Vaccination for Licenses Independent Practitioners and Staff
The Joint Commission Releases its New Transition of Care Portal
The Power is in Your Hands – We Want to Know What You Are Thinking
An Areas of Interest Survey is a comprehensive tool designed to assess and prioritize specific domains or subjects that individuals or organizations find most relevant or critical. In the context of BHM Healthcare Solutions, this survey serves as a strategic instrument to identify and explore key areas within the healthcare landscape that demand attention, research, […]
The Importance of Physician Advisor Services
Let’s discuss the importance of physician advisor services. According to a report issued by the Department of Health & Human Services, the Office of the Inspector General reviewed a case involving University of Pittsburgh Medical Center Presbytarian Shadyside (the University). The final report is entitled Review of Medicare Acute Care Inpatient Same-Day Readmissions at University […]
Part 2 of 2 – New CARF Standards Effective for Surveys Conducted After June 30, 2012
Part 1 of 2 – New CARF Standards Effective for Surveys Conducted After June 30, 2012
Original source of information is the CARF website. The Commission on Accreditation of Rehabilitation Facilities International (CARF) was founded in 1966 and serves the following areas: aging services, behavioral health, business and services management networks, child and youth services, employment and community services, and medical rehabilitation.Did you know that new CARF standards effective for surveys […]
Healthcare Reform and the Presidential Election
Healthcare Reform is a buzzword in terms of the upcoming presidential election. Three new articles were added to the website just since yesterday regarding this issue. Let’s discuss the evolving nature of healthcare reform and the presidential election. Original source is “The Hill” Healthwatch Blog Obama Issues Veto Threat for Healthcare Bill June 6, 2012, […]