Tag Archives | utilization management

The Life of a Group Health Case [Infographic]

Wondering where an IRO fits into the external review process? How about whether an RN versus an MD can approve or deny a case? Check out our infographic on The Life of a Group Health Case to learn about physician-level reviews and the role of an IRO in Group Health plans!

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!

Issues Facing Men’s Health Today: Treatment Options

When people learn they have medical conditions, they naturally leap to the next step: treatment. But choosing the right treatment is not always a black-and-white process, particularly for men with prostate cancer. Each person’s injury or disease is affected by his or her gender, age, lifestyle and other medical needs. There is rarely only one […]

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 […]

URAC accreditation: What does it mean?

In the late 1980s, there were no existing uniform standards for utilization review services, raising concern within the industry and highlighting a need for oversight. The Utilization Review Accreditation Commission was incorporated in 1990 to offer health organizations an opportunity to have trained reviewers examine their operations and publicly ensure they are delivering care in […]

2015 Year in Review at Advanced Medical Reviews

2015 has been another transformative year for healthcare, and here at Advanced Medical Reviews (AMR) we have been especially grateful to work together as we continue to live and work by our belief statement – “We believe every patient should receive quality healthcare.” As the year comes to an end, there are several noteworthy moments […]

AMR is Increasing Services and Customer Satisfaction – We Put Our Clients First!

Over the last 18 months we have been working hard to improve our services and take even better care of you, our clients, and our efforts are paying off. As the COO of AMR, I work in tandem to Vince our CEO to make sure that our team is focusing on those items that will […]