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AllMed Healthcare Free Guide The Role of IROs and Medical Management...



AllMed Healthcare has released a free guide entitled, 's8220;Sorting Out the Patient Care Puzzle: The Role of IROs and Medical Management Companies's8221; that is featured on the AllMed Healthcare website. The guide may be viewed by clicking the following link: http://www.allmedmd.com/resources/downloads/utilization.html



Independent Medical Reviews are required by most health insurers to determine whether a proposed medical treatment is appropriate for a particular patient case. Payors and doctors typically call this process 's8220;Utilization Review's8221; or 's8220;Utilization Management's8221;. While these terms are frequently used interchangeably, they do not mean exactly the same thing.



AllMed's8217;s Free Guide will define and differentiate 's8220;Utilization Review's8221; and 's8220;Utilization Management's8221; and then show how Independent Review Organizations (IROs) and Medical Management Companies perform these services to meet the needs of payors / insurers . The Guide will also explain why the objectivity and autonomy of an Independent Review Organization is well-suited for making specialized medical necessity determinations and why utilization management firms that lack necessary expertise frequently outsource their complex cases to IROs.



More information on AllMed and the company's8217;s peer review & medical review services can be found on AllMed's8217;s web site at http://www.allmedmd.com/ .



About AllMed Healthcare Management

Founded in 1995, AllMed (http://www.allmedmd.com/) 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's8217;s growing customer base includes premier organizations, such as Educator's8217;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.






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