Many times in the demanding field of external medical review, the art and science of producing a high-quality report comes with its own set of unique challenges and obstructions. Independent review organizations (IROs), which provide non-biased reviews of medical coverage and other decisions, often face rapid deadlines, incomplete medical records and what can be a…
Before her presentation at the NAIRO 2017 Symposium, we thought it would be interesting to hear some of Donna’s background, her thoughts on working with URAC, and her insights into industry trends.
By law, consumers have the right to pursue an external review performed by an independent body or independent review organization (IRO), which may impact or possibly reverse the original denial.
Interest continues to build for the upcoming NAIRO 2017 Symposium, themed “Trust in Healthcare”. An online registration page is now open with information on registering as a Symposium attendee.
For 2017, the Symposium moves to Nashville, TN the week of October 16th. The theme is “Trust in Healthcare”, highlighting security, regulatory, and legal topics.
Conflict of interest is serious business in any industry, and it is of paramount importance for the medical review process within health care – where people’s health and well-being are at stake.
NAIRO believes that reviewer anonymity is essential to the integrity of the review process, but sometimes reviewers are disclosed inadvertently.
NAIRO announces changes to its Executive Committee with the appointment of three long-standing experts in the field to two-year terms.
NAIRO Releases Solutions to Prevailing Barriers Facing Health Care’s Independent Medical Review Process
New NAIRO white paper enumerates key challenges – and solutions – to a core function of healthcare.
Calif. Supreme Court rebuts court ruling that found UR physician liable for patients’ health outcomes
The California Supreme Court depublicized a lower court’s ruling on utilization review regarding a reviewer’s duty of care.
While organizations believe in securing patients’ protected health information (PHI), 94% admit to at least one PHI breach within the past two years.