Navigation Links
NAIRO Supports Uniform Health Carrier External Review Model Act Adopted by NAIC
Date:6/10/2008

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 http://www.nairo.org/about.php.


'/>"/>
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:
*Name:
*Comment:
*Email:
(Date:12/5/2016)... ... , ... Sideline Products is a Southern York County Pennsylvania-based premier designer and ... the horse. Smaller saddles can pinch and irritate the horse creating safety issues and ... fitted western saddle so it does not impact the comfort or performance of the ...
(Date:12/5/2016)... ... December 05, 2016 , ... Airy Jeanine ... with prolific Songwriter-Producer Corey “Chorus” Gibson who has worked on hits by mega-artists ... a few.     https://twitter.com/coreychorus , The sessions taking place in North Jersey’s ...
(Date:12/5/2016)... ... , ... As renowned, board-certified dermatologists, Dr. Sabrina G. Fabi and Dr. Douglas ... not do their research and undergo cosmetic dermatology treatments from unqualified practitioners or worse, ... renaissance and every other month a new treatment or device is launched, promising everlasting ...
(Date:12/5/2016)... Columbus, OH (PRWEB) , ... December 05, 2016 ... ... novel engineering solution called the CardioQuick Patch® significantly improves the reproducibility and accuracy ... usability in various healthcare settings. , Over the last 60 years, studies ...
(Date:12/4/2016)... , ... December 03, 2016 , ... While James Earl ... serving as host for in a show called "Front Page". One of the forthcoming ... years, breast cancer rates have plummeted in large part due to early detection. Like ...
Breaking Medicine News(10 mins):
(Date:12/5/2016)... Dec. 5, 2016  New research by the ... Institute and the U.S. Department of Health and ... Preparedness and Response (ASPR), published online today in ... pharmacy notifications encourage patients with chronic conditions to ... The study also affirms that public-private partnerships can ...
(Date:12/5/2016)... Dec. 5, 2016  BD (Becton, Dickinson and Company) ... technology company, will demonstrate an enhanced technology platform designed ... including the company,s leading Pyxis™ and Alaris™ systems, at ... 2016 Midyear Meeting being held in ... While national data show that approximately 68 percent of ...
(Date:12/5/2016)... 5, 2016 Research and Markets has announced the ... Forecast to 2021" report to their offering. ... , , The global ... by 2021, at a CAGR of 5.3% from 2016 to 2021. Factors ... obesity cases, increasing government spending on healthcare, and rising income levels are ...
Breaking Medicine Technology: