Tag: independent review organization

Workers’ Compensation and Disability Reviews with IROs

Beginning in 1908, federal and state governments established workers’ compensation (WC) programs for employees in hazardous work environments. Programs were enacted in all 50 states by 1949, and the social insurance program is still regulated state-by-state today. That is not to say, however, that nothing has changed. Workers’ compensation programs have expanded and improved significantly […]

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, […]

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 […]

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 […]

IRO’s make Quality Healthcare Possible

Healthcare is personal, and whether or not one receives quality healthcare can greatly impact their life. There are several different factors that make up quality healthcare and one of the important factors is the option for independent reviews. Having an Independent Review Organization (IRO), such as Advanced Medical Reviews, perform a medical review on your […]