Navigation Links
NAIRO Supports Uniform Health Carrier External Review Model Act Adopted by NAIC

Consistent external review processes will benefit consumers, regulators and

the healthcare industry

LANSDALE, Pa., June 10 /PRNewswire/ -- Lack of consistency related to the external appeal process is a big issue facing healthcare reform, says NAIRO (National Association of Independent Review Organizations), a trade organization for IROs. While 44 states and Washington, D.C. have external review laws, each is different. A nation-wide standard would provide consumers with greater consistency in the appeal process when an insurer denies coverage. Widely varying external review laws can significantly affect consumers, and unnecessarily increase healthcare complexity.

Standardization of independent medical peer review processes, timeframes, methods, and credentialing requirements throughout the United States is a important issue on the NAIRO agenda. It is why NAIRO supports the National Association of Insurance Commissioners (NAIC) "Uniform Health Carrier External Review Model Act," which moves external review toward a common process for all states and reduces healthcare confusion.

"NAIRO fully supports NAIC's approval of its External Review Model Act," said Joyce Muller, NAIRO president. "It's in the best interest of regulators, the healthcare industry and consumers to simplify the overly complex external review processes that most states use to protect consumers."

NAIRO is also a proponent of the requirement that nationally accredited independent review organizations perform the reviews. "We believe the healthcare consumer benefits if nationally accredited IRO's are selected for this process," said Muller. "Accredited IRO's undergo an exhaustive process that ensures consumers will receive the highest quality independent review of their denied claim." Today many policy makers recognize that private accreditation ensures their constituencies receive quality health care.

URAC (formerly the Utilization Review Accreditation Commission) is the largest accreditation organization in health care and accredits independent review organizations.

"Most states have established regulations that support patient's right by providing an appeal process for denied claims," said Muller. "NAIRO encourages all states to consider a more consistent national process for the benefit of all."

To read NAIRO's stances on healthcare issues, visit

SOURCE National Association of Independent Review Organizations
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. HealthFitness CEO Supports Move Toward Cultural Shift, and Science-Based Health Management Programming
2. Diageo Supports First Ever National We Dont Serve Teens Week
3. The Prem Rawat Foundation Supports Disaster-Relief Efforts in Mozambique
4. Discovery supports theory of Alzheimers disease as form of diabetes
5. Study Supports Change to Prostate Cancer Biopsy
6. Kim & Scotts Gourmet Pretzels(TM) Supports Breast Cancer Organizations With Its New Pink Ribbon Pretzel
7. NIH grant supports UCSF research exploring early HIV infection
8. Grant Supports Study of Abnormal Ring-Shaped Chromosomes
9. Adaptis Supports Local Yakima-Based YWCA and National Diabetes
10. XShares Supports Parkinsons Disease Foundation 50th Anniversary Educational Symposium
11. $4 million AHRQ grant supports research to improve hospital care
Post Your Comments:
(Date:6/26/2016)... ... , ... Brent Kasmer, a legally blind and certified personal trainer is helping to develop a ... fitness app plans to fix the two major problems leading the fitness industry today:, ... type program , They don’t eliminate all the reasons people quit their exercise ...
(Date:6/25/2016)... Viejo, California (PRWEB) , ... June 25, 2016 , ... ... to fit their specific project," said Christina Austin - CEO of Pixel Film Studios. ... fully customizable and all within Final Cut Pro X . Simply select a ...
(Date:6/25/2016)... Canada (PRWEB) , ... June 25, 2016 , ... Conventional ... pursuit of success. In terms of the latter, setting the bar too high can ... risk more than just slow progress toward their goal. , Research from ...
(Date:6/24/2016)... ... 2016 , ... The Pulmonary Hypertension Association (PHA) learned during ... two significant new grants to support its work to advance research and patient ... recognizing patients, medical professionals and scientists for their work in fighting pulmonary hypertension ...
(Date:6/24/2016)... Plano, TX (PRWEB) , ... June 24, 2016 , ... ... taking part in Genome magazine’s Code Talker Award, an essay contest in which patients ... for an award to be presented at the 2016 National Society of Genetic Counselors ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... , June 23, 2016 ... CAPR ), a biotechnology company focused on the ... announced that patient enrollment in its ongoing randomized ... has exceeded 50% of its 24-patient target. Capricor ... the third quarter of 2016, and to report ...
(Date:6/23/2016)... INDIANAPOLIS , June 23, 2016 If ... Leaders Scholarship is any indication, the future is in ... at by the Diabetes Scholars Foundation ... the way of academic and community service excellence. ... since 2012, and continues to advocate for people with ...
(Date:6/23/2016)... 23, 2016 The vast majority of dialysis ... facility.  Treatments are usually 3 times a week, with ... including travel time, equipment preparation and wait time.  This ... grueling for patients who are elderly and frail.  Many ... and rehabilitation centers for some duration of time. ...
Breaking Medicine Technology: