Tag: utilization management

The Merits of IME and IMR

The business world is full of acronyms. Terms such as ROI (return on investment), CMS (content management system), CPL (cost per lead), KPI (key performance indicator) and API (application program interface) are discussed by many working professionals on a regular basis. Two well-known acronyms for health plans and payers are IME, otherwise known as independent […]

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, […]

Fall 2018: Healthcare Updates To Know

  In the healthcare industry, missing a new regulation or alternative treatment could cost you more than money or time. In order to stay informed, we’ve rounded up the most recent updates: New Non-Opioid Treatments For Opiate Withdrawal In response to the national opioid crisis, the FDA has recently approved two new treatments to mitigate […]

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 […]

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