Archive | Independent Medical Reviews

The Purpose of Risk Management in Healthcare

There is no way around it: Risk management is necessary for healthcare facilities. In an industry with high stakes, small errors in healthcare can lead to significant injuries, fatalities and increased costs for providers. Risk management works to improve patient safety and care, cut costs and ultimately benefit providers’ bottom lines.   What is Risk […]

The Evolution of Health Plans

The health plan you purchase today may not resemble the plan of your parents or grandparents at all. For decades, Americans received healthcare under the traditional fee-for-service system. Insurance companies reimbursed patients or payers based on every service provided to patients. This seemed logical on the surface, yet problems became clear as the industry realized […]

Innovations in Patient-Centric Care

In the past few years, the American healthcare system has witnessed dramatic changes with the consumerization of healthcare marking perhaps the most influential transition. More power than ever has been placed in the hands of patients, given that managing one’s well-being is as easy as opening a smart phone. The influx of apps aimed at […]

AMR – 2016 in Review [Video Blog]

2017 is here! Last year was a phenomenal year for Advanced Medical Reviews, so let’s take a moment to look back on 2016 and all that we accomplished. We hope you enjoy our very first Video Blog!

Peer Review: Benefiting Patients and Physicians

Many physicians are experts in their areas of practice, but the medical field is vast, and there’s no way for one doctor to be an expert in everything. It is impossible to keep up with each advancement for every condition or treatment option. That is why physicians and health care facilities use the peer review […]

Looking Ahead: Workers’ Compensation Reforms

The goal of workers’ compensation is to support employers and workers in offering the benefits workers need to recover from injuries or support themselves after becoming disabled. Every state has a workers’ compensation insurance system and specific guidelines within which businesses and employees must work. While the system has worked for many years, in recent […]

Reimbursements Driving Better Clinical Outcomes in Behavioral Health

Over the past few years, America has witnessed its health care system shift from a predominately pay-for-service model to one with various reimbursement models that focus on long-term behavioral health improvements, promoting efficiency and reducing costs. It may seem like a tall order for physician payment methods to improve patient care, but the industry agrees […]

URAC Accreditation – Just what is it?

Check out the latest from Advanced Medical Reviews (AMR) on URAC Accreditations in a simple infographic. AMR is accredited as both an Independent Review Organization (IRO) for internal and external peer reviews, and for Health Utilization Management (UM).

New Technologies Addressing Mental Health

Mental health encompasses factors such as mood swings, stress management and more serious issues like mental illness. A 2014 study by the Substance Abuse and Mental Health Services Administration found that 43.6 million Americans over age 18 experienced some type of mental illness. This isn’t a small or insignificant problem. Individuals suffering from poor mental […]

Utilization Review (UR) for Sarcoma Treatment

Individuals battling sarcoma will undergo countless tests, procedures and treatments over the course of months or years. The goal of Utilization Review is for patients to receive the best care possible. Insurers use an evidence-based approach during Utilization Review to make sure patients do not receive duplicate or un-proven procedures.   Utilization Review During Sarcoma […]

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