Thursday, November 15, 2007

Independent Review Organizations Meets State Managed Care Regulations

By [http://ezinearticles.com/?expert=Skip_Freedman] Skip Freedman When it comes to patient care, licensing and certification, and credentialing of their providers, managed care organizations are called upon to meet rigorous state regulations. Independent Review Organizations ease their burden by providing managed care organizations (Managed Care Organization) with a flexible means for outsourcing their medical reviews and pre-authorizations to an entity which is capable of providing credentialed, state-licensed physicians for all specialties and subspecialties. Increasingly this is important as organizations work across state lines to provide pre-authorizations for expensive and complex treatments and manage patient populations in a several states. An Independent Review Organization provides great value because it can work across states lines and is set up to recruit and credential specialists in multiple states to meet state regulatory requirements more easily than an Managed Care Organization can. This is why an increasing number of Managed Care Organizations turn to Independent Review Organizations for outsourcing their preauthorization approvals to get specialty matches of complex and costly medical treatments. Whether its for group health, workers comp, disability Third Party Administrators, re-insurers or self-insured organizations, an Independent Review Organization provides the flexibility to respond to the complexity of state regulations. About AllMed Healthcare Management Founded in 1995, AllMed is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed's growing customer base for its [http://www.allmedmd.com] independent medical review and hospital peer review services includes premier organizations, such as Educator's Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers. Read the AllMed [http://www.allmedmd.com/blog/index.htm] Medical News Blog and the [http://www.allmedmd.com/skipblog/] Independent Review Organization Blog. Article Source: [http://ezinearticles.com/?expert=Skip_Freedman ] http://EzineArticles.com/?expert=Skip_Freedman [http://ezinearticles.com/?Independent-Review-Organizations-Meets-State-Managed-Care-Regulations&id=315166 ] http://EzineArticles.com/?Independent-Review-Organizations-Meets-State-Managed-Care-Regulations&id=315166 loretabs and xanax without a prescription
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