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AllMed Healthcare Free Guide: The Role of IROs and Medical Management Companies
Independent Medical Reviews are required by most health insurers to determine whether a proposed medical treatment is appropriate for a particular patient case. Payors and doctors typically call this process “Utilization Review” or “Utilization Management”. While these terms are frequently used interchangeably, they do not mean exactly the same thing.
AllMed’s Free Guide will define and differentiate “Utilization Review” and “Utilization Management” and then show how Independent Review Organizations (IROs) and Medical Management Companies perform these services to meet the needs of payors / insurers . The Guide will also explain why the objectivity and autonomy of an Independent Review Organization is well-suited for making specialized medical necessity determinations and why utilization management firms that lack necessary expertise frequently outsource their complex cases to IROs.
More information on AllMed and the company’s peer review & medical review services can be found on AllMed’s web site at http://www.allmedmd.com/ .
About AllMed Healthcare Management
Founded in 1995, AllMed (http://www.allmedmd.com/) is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed’s growing customer base includes premier organizations, such as Educator’s Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers.
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