Medical peer review for insurance is a key process in the healthcare as well as insurance industries. Its primary objective is to ensure that the medical services provided to patients are necessary, appropriate, and in keeping with established standards of care. Peer...
Medical Peer Review
What Types of Legal Cases Benefit from Medical Peer Review?
Medical peer review serves as a valuable tool in various legal cases where a thorough evaluation of medical information is crucial. Peer review offers substantial benefits for insurance attorneys by...
What Does the Data Collection and Medical Peer Review Process Involve?
Medical peer review holds immense importance for healthcare organizations and insurers due to several compelling reasons. Firstly, it ensures the delivery of high-quality and appropriate medical...
Common Pitfalls in the Medical Peer Review Process for Insurers
Medical peer review is a professional evaluation process that assesses the performance of practitioners who have similar training, experience, and skill sets. It utilizes a formal evaluation system...
How Does a Medical Peer Review Company Assist Physician Consultants?
A medical peer review company provides valuable support to physician consultants who need to review large-volume medical records. Consultant physicians are hired by health insurance companies to...
Some Frequently Asked Questions On Medical Peer Review
Medical peer review can be referred to as a performance assessment through which physicians’ clinical performances are evaluated by their peers. In this process, everything ranging from medical...
Medical Peer Review – In-house vs Outsourced Solutions
A medical peer review for health plans is usually conducted to determine if a medical claim denial should be upheld or not. This review is performed by a physician that belongs to the medical...
How A Medical Peer Review Could Impact The Outcome Of A Claim
Peer reviews can have a major impact on the outcome of a medical claim. These reviews are paper-based evaluations that are prepared by credentialed, trained and experienced physicians. The objective...
OSHA’s COVID-19 Emergency Standard for Healthcare Employees & Updated Non-mandatory Guidance
Employers in different industry sectors need to be aware of the official regulations issued from time to time to stay compliant and ensure workplace safety for their employees. Workers’ compensation...
What is the Importance of Medical Peer Review in Workers’ Compensation
Insurance peer review is an important process when determining the claimant’s eligibility for medical insurance coverage. It helps ensure that the coverage is provided for medically necessary...
Insurance Peer Reviews – The Process and the Peer Review Report
Peer reviews are utilized by healthcare providers and insurance companies to obtain detailed, evidence-based reports that provide objective and accurate answers to case-specific questions. The...