AMR News

AMR Announces New Blog Site

May 21st, 2013

Welcome to Advanced Medical Reviews’ blog! We are excited to have this opportunity to share company and industry news with you. AMR would like to use this forum to discuss relevant health care advancements, health industry issues or developments, and provide our clients and peers with a place to convene.

As a URAC accredited IRO (Independent Review Organization), AMR serves many varying types of health care teams, from work comp and health insurance carriers to government entities, hospitals, physician groups, pharmaceutical management teams and TPAs. We will be happy to speak on topics for any of these industries in particular or health care in general.

Readers are encouraged to ask questions, leave comments and suggest topics for future discussion. We hope you enjoy our new community designed to enhance and share our collective knowledge. Thanks for visiting and check in again soon!

Fall 2012 Newsletter

September 5th, 2012

 

External Reviews: State Level vs. Federal External

External Reviews have been conducted on the state level for some time; however, the new health care regulations per the Patient Protection and Affordable Care ACT (PPACA) also mandate a federal level appeal process. Help us out when submitting an external review by identifying whether your appeal is at the self-insured federal level or the fully-insured state level.

Going forward, all templates, notifications letters, denial letters that are state level appeals will be called “Fully-Insured” State-Level Appeals and will no longer be referred to as state IRO. The same rule applies to Federal level appeals, before called PPACA, will be referred to as “Self-Insured” Federal level Appeal.
The Advantages of Using Independent Review Organizations (IROs)The benefits and values of IROs go beyond ensuring accurate and proper medical services were provided.
By outsourcing to a physician review company, health groups, hospitals, medical agencies can reduce costs, recalculate resources with variable volumes, and allocate their medical directors to higher value-added tasks.

 

 

 

 

 

 

 

 New Security & Navigation Features to AMR’s Web Portal!

Security Enhancement
Clients are now protected with an additional layer of security. After five failed log-in attempts, submitters will be required to contact AMR’s customer support. This feature will prevent a breach of confidentiality in addition to unauthorized access.

Efficiency Improvement
Reviews are now easier to find! We have added additional filters to the search fields in order to enhance site navigation. If you are set up with multiple accounts, you can now search across all of them at the same time. Features also include significant updates to our internal system to further improve staff efficiency and better serve our clients.

Alerts
Our alert system automatically notifies clients of key changes with the review process. These are set up on a case by case basis. As an example, clients can opt to automatically receive a return e-mail with the AMR tracking number each time a review is created. Contact our dedicated Client Account Specialist (CAS) team at clients@admere.com to get your customized alerts turned on!

Reporting Features
Clients can generate customizable reports using any combination of fields. Once exported to excel, pivot tables are a useful tool to track trending over time. Our Client Account Specialist (CAS) team is also available to generate reports for clients.

The New Buzz in Social Media is Talking About Healthcare
Social media is no longer a new marketing phenomenon but a permanent fixture that is here to stay; it has the power to influence buyers in every business market. The public is now more inclined to weigh decisions on consumer reviews for health-related topics. Social media sites have become sources of information on treatment types or an outlet to assist in choosing particular physicians. Blogs and networking sites link people to healthcare companies more than the actual corporate marketing efforts. Social media as a resource is only becoming more credible in the health community. Forty-five percent of consumers said that on-line health forum posts would influence their decision to get a second opinion.

Now is the time for health organizations to capitalize on this opportunity as a way to receive personal customer input and provide an immediate response. Social media will allow healthcare companies to use the interactive nature as a tool to measure lifestyle and behavior patterns to help inform care plans. Health organizations can also use patient-reported data as a way to improve customer service, provide higher-quality care, and create more efficient products that will positively shape the healthcare market.

March 2012 Newsletter

March 9th, 2012

To improve healthcare delivery by providing the highest quality independent medical reviews utilizing innovative technologies.

- AMR Mission Statement
 

AMR is excited to be a part of some great opportunities this year that will be both educational and insightful.One of our Managing Partners, Dr. Barak Mevorak, will be speaking about the Patient Protection and Affordable Care Act (PPACA) and its impact on the UR and health insurance markets. Come see Dr. Mevorak speak at the Spring Managed Care Forum this April and the Western Claims Conference in August.To see more information regarding these events, check out the News and Events page on our website:         http://www.admere.com/news/events 
FEATURED

New Features to AMR’s Web Portal!
We are excited to announce several new updates to the client web portal which expand the current capabilities and make our system even more user-friendly. We appreciate your feedback and encourage you to provide us any additional comments or requests that will improve your experience with us. We have included a preview of the changes below.

 
WHAT’S NEW


Feature 1: Multi-Account Access with Single Login

Many of our clients have multiple accounts set up to distinguish between various departments, differing submission forms or question sets, separation of internal cases/federal external reviews, etc. We can now have submitters choose which account they would like to access with a single username and password! When logging in, you can select the account from a drop-down list. Invoicing will remain separate for the multiple accounts. Please contact your Account Manager to enable this feature.
Feature 2: Submitter Profile Management

Submitters now have the ability to manage their own information, as well as usernames and passwords. There will also be a “Forgot Password” function. Additionally, team leads who are registered as the ‘Administrator’ of the account can add or remove staff members from a team.
Feature 3: Multi-Account Management Reporting

Clients with Administrator access can now run reports on multiple accounts at the same time. In other words, data from various accounts can be filtered in a single report. This new feature is extremely beneficial in data mining to spot trends within an organization or to see repetition of service requests, etc.
New Business Line: Physician Advisory Services

AMR Physician Advisory Services (PAS) provides concurrent review, physician advisory, and RAC audit services. Our experienced, highly qualified Physician Advisors are trained in Medicare/Medicaid rules and regulations. This team of advisors has real-time access to clinical and regulatory information.AMR PAS utilizes the latest technologies, along with an extensive board certified physician review panel, to assist hospitals in addressing these concerns. Please visit the AMR PAS website for further information: http://www.amrpas.com/.

Advanced Medical Reviews launches Client Portal 4.0

March 1st, 2011

On February 21, 2011 Advanced Medical Reviews (AMR) released it latest version of its online case referral platform, Client Portal 4.0. The updated, tech savvy and user friendly portal is another example of Advanced Medical Reviews dedication to being the Independent Review Organizations industry leader in technology capability. With the new Client Portal 4.0, the end user will find a simple, yet diverse tool in which to submit new review cases to AMR.

Upgraded features include:

  1. Customized Reporting
    • The Custom Reporting feature will now open in a grid format. The visible fields on the report will appear in a row at the header. To add fields, click Field Chooser and drag the desired field into the header. To remove fields from the report, drag them from the header bar into the Field Chooser dialogue box. Filters may be created from the arrows next to the headings.
  2. Easier File Uploads
    • When clicking ‘Attach Files’, a new page will no longer open; a dialogue box will open directly on the submission form.
  3. Draft and Save Capability
    • Clients now have the option to save a submission while entering information on the template. These incomplete submission requests will be stored under the Drafts tab. Clients may reopen and complete their submissions at their desired time.

Since 1998 Advanced Medical Reviews has been setting the industry standard in providing independent medical review services that are timely, customizable, affordable, and of the highest possible quality.

Our URAC accreditation assures our client’s of AMR’s adherence to the industry’s most stringent protocols with respect to quality assurance, HIPPA compliance, PHI confidentiality and security.

With the largest independent physician review panel available in the industry AMR is able to provide comprehensive medical recommendations utilizing case-specific patient information and industry-standard care guidelines including treatment protocols and current scientific evidence.

The 1800+ practicing board-certified physicians and licensed healthcare professionals in our review panel cover an extensive list of medical specialties and sub-specialties, and serve all 50 states, providing our clients with the highest quality, evidence based medical reviews.

Healthcare Reform Summary and Update

February 17th, 2011

Click here to dowload the “PPACA Summary”

Link to the NAIRO News and Events Page

January 12th, 2011

Here is a direct like to the NAIRO News and Events Page: http://nairo.org/news.php

New AMR Website Launched

January 5th, 2011

This week we’ve launched the newly revised Advanced Medical Reviews website.

1

December 14th, 2010

AMR offers our client’s the ability to submit new review requests, track their progress, and ultimately retrieve those completed reviews, via a totally customizable and secure online client portal.

2

December 14th, 2010

Clients now have the option to save a submission while entering information on the template. These incomplete submission requests will be stored under the Drafts tab. Clients may reopen and complete their submissions at their desired time.

3

December 14th, 2010

When clicking ‘Attach Files’, a new page will no longer open; a dialogue box will open directly on the submission form.