IROs Balance Health Organizations, Consumer Interests
Westerville, OH (PRWEB) October 14, 2009 -- IROs exist to help the integrity of the healthcare system says NAIRO (www.nairo.org), a trade organization of independent review organizations (IROs).
"As an objective participant in the healthcare process, IRO physicians can deliver determinations based on objective medical evidence, which helps preserve the integrity and quality of our healthcare system," said Seana Ferris, President of NAIRO. "All IROs use independent, board-certified physicians in active practice to make medical care determinations. We employ top specialists in their fields to help healthcare organizations make well informed determinations based on the latest medical literature and techniques available."
Not bound to health plans, plan administrators, patients or physicians, IROs (http://nairo.org/what.php) increase the integrity of our healthcare system by assessing the merits of treatment based on clinical evidence and the accepted standard of care. IROs and their expert reviewers have no conflict of interest, because they are not associated with the patient, the patient's physician, the treatment, the health plan or the plan administrator seeking a review.
IROs provide health insurance payers, pharmacy benefit managers, insurance carriers, hospitals and ambulatory centers (ASCs) with unbiased and evidence-based reviews of health insurance claims, patient claims and physician performance.
IROs work with various insurance payers, including carriers, reinsurers, medical management organizations, managed care organizations and third-party administ
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