Tag: independent medical review

Evidence-Based Reporting in Independent Medical Reviews: Abounding in Benefits

Clear communication is essential in many facets of life. Whether it’s a teacher telling students about classroom rules or a physician explaining a diagnosis to a patient, providing easy-to-understand direction is important. This need for clear and open communication is evident in the healthcare industry because it can make the difference in outcomes, patient safety, […]

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 […]

IMRs Ensure Patients Receive Objective Decisions Regarding Genetic Testing

Genetic testing is prevalent in modern medicine. It gives physicians definite information about the patient, often supporting a diagnosis or influencing a treatment plan. Common types of genetic tests are prenatal testing and newborn screening for specific diseases or syndromes, predictive and carrier testing such as for the “breast cancer gene” BRCA, or diagnostic testing. […]

How Has the Affordable Care Act Affected IROs?

How Has the Affordable Care Act Affected IROs? A crucial consumer protection in the Affordable Care Act — the right to appeal to an outside entity when an insurance company denies payment – received relatively little public attention -but it’s creating noteworthy opportunities and challenges for independent review organizations (IROs). The Affordable Care Act (ACA) carves […]