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JOINT STATEMENT FROM URAC AND NAIRO ON GOVERMENT ACTIONS TOWARDS SURPRISE MEDICAL BILLS

ALBANY, NY – June 17, 2019 – URAC and the National Association of Independent Review Organizations (NAIRO) support Congressional legislation to protect patients from “surprise billing.”  This practice has placed financial hardship on patients due to the lack of coordination in our delivery system and the misaligned billing practices of healthcare organizations.  If Congress considers adoption of an arbitration model whereby an independent arbiter decides any payment disputes between health plans and providers, we believe that the arbiter(s) should be accredited independent review organizations (IROs).  Payers, providers, and their regulators deserve an independent, qualified assessment regarding a payment determination.  Accredited IROs have a 20-year history of protecting patients by serving as trusted independent clinical experts.  Accredited IROs have a strong foundation avoiding conflicts of interest, utilizing high-qualified and specialized clinical reviewers and staff, and rendering accurate and timely decisions in a transparent manner. New York, New Jersey, and Illinois have all found success utilizing the arbitration model.

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NAIRO INSTALLS 2019-21 EXECUTIVE OFFICERS

ALBANY, NY – June 10, 2019 – The National Association of Independent Review Organizations (NAIRO), the nation’s leading voice of independent medical peer review, is pleased to announce the newly installed Executive Officers of its Board of Directors.

NAIRO’s 2019-21 Executive Officers include:

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NAIRO RELEASES ROADMAP TO GUIDE RIGOROUS CLINICIAN CREDENTIALING IN MEDICAL REVIEW

New white paper defines the highest standards in vetting medical reviewers

ALBANY, NY – February 15, 2019 – Today the National Association of Independent Review Organizations (NAIRO) released a publication showcasing the key concept of clinician credentialing within the wider scope of independent medical review and utilization review.

The white paper, High-Caliber Credentialing: Protecting the Integrity of Medical Review, identifies the rigorous standards that leading independent review organizations (IROs) and utilization review/utilization management (UR/UM) organizations adhere to when vetting clinicians for important decision-making activities related to appropriate health coverage.

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NAIRO SELECTS CHMS FOR ASSOCIATION MANAGEMENT

ALBANY, NY – February 4, 2019 – The Board of Directors is pleased to announce that the National Association of Independent Review Organizations has selected Capitol Hill Management Services as the new firm for managing the association.  “We are pleased to have a proven national leader in association management to help NAIRO improve our association’s administrative and membership services, grow our membership, and increase awareness of our organization across the United States,” said Board President Ed Bolton.

“Through its committed members and outstanding programs, the National Association of Independent Review Organizations is playing an important role in protecting the integrity of the independent review process for all stakeholders” said John A. Graziano, Jr., President of Capitol Hill Management Services.  “We are pleased to work with the association’s dedicated Board of Directors and volunteers in ensuring a successful future for IROs and helping to improve healthcare delivery through the effectuation of a fair and equitable review process.”

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