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!
|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.
|New Security & Navigation Features to AMR’s Web Portal!
The New Buzz in Social Media is Talking About Healthcare
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.
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:
- 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.
- Easier File Uploads
- When clicking ‘Attach Files’, a new page will no longer open; a dialogue box will open directly on the submission form.
- 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.
Here is a direct like to the NAIRO News and Events Page: http://nairo.org/news.php
This week we’ve launched the newly revised Advanced Medical Reviews website.
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.
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.
When clicking ‘Attach Files’, a new page will no longer open; a dialogue box will open directly on the submission form.