Tag: IRO

Supplemental Medical Directors

For years, the number of practicing physicians in the U.S. has not maintained pace with the rising demand for medical services. This trend has created a physician shortage, with consequences extending far beyond the doctor’s office to essential workflows throughout the American healthcare system, including the medical review process. The Association of American Medical Colleges […]

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 […]