Tag: independent medical review

Third-Party Reviewers: Offering Streamlined Solutions for Payment Integrity

Unfortunately, the healthcare industry faces challenges with financial waste. It has been estimated that the healthcare system in the United States wastes approximately $765 billion annually, about 25 percent of what is spent. Part of this number is due to payment integrity issues such as fraud, waste and abuse (FWA). If you’re not familiar with […]

Consolidation in the Healthcare Industry

Mergers, acquisitions and other forms of consolidation in the healthcare industry are nothing new, but the increasing number of them occurring over the past few years is. Consolidation has increased noticeably since 2009 and doubled from 2011-2015. Statistics from Becker’s Hospital Review paint a clear picture of how consolidation has already shaped the healthcare industry: […]

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, […]

Next Page »