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…
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…
WASHINGTON, DC – June 6, 2018 – Demonstrating a commitment to ensuring that independent review organizations (IROS) have met rigorous standards in quality and accountability through accreditation, the state of Alaska has taken an important step in the protection of patient rights. As of May 23, to be eligible to conduct external reviews in Alaska,…
In the constantly evolving world of medical research and development, cutting-edge treatments start out in a clinical trial setting and, if proven safe and effective, will become acceptable in the day-to-day practice settings of health care providers. Some advanced cancer treatments and biological therapies are just two examples of treatment methods that will pass through…
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.