HIGH-CALIBER CREDENTIALING: PROTECTING THE INTEGRITY OF MEDICAL REVIEW
NAIRO 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.
Understanding the Role
In a white paper titled “Understanding the Vital Role of Independent Medical Review and Utilization on Review Services”, NAIRO outlines the review process and seven challenges facing payors.
More background on Independent Review
These NAIRO resources include official white papers, position papers, letters, issue briefs, Q&As, and press releases, along with articles and presentations from industry influencers. These files are in PDF format.