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 care to patients. Through expert evaluations, peer review helps identify...
Medical Peer Review
Insurance Claim Denials on the Rise across the U.S
A medical peer review for insurers is typically performed to determine whether the services provided by the treating physician to the patient were medically necessary. This is an important procedure...
How to Encourage Physician Engagement and EHR Adoption
EHR systems are a force to reckon with for a large number of healthcare providers. While the convenience and efficiency offered by these systems are encouraging, there are complexities that are...
Does Workers’ Compensation Cover Soft Tissue Injuries?
Workers’ compensation insurance covers most on-the-job injuries and illnesses related to one’s work. Attorneys handling workers’ compensation cases utilize the service of medical record retrieval...
Why Insurance Companies Need to Broaden Coverage for Alternative Pain Treatment Options
Medical peer review is an indispensable service for insurers to ensure that claims are justly handled, not unfairly declined and settled in a timely manner. It helps them capture independently...
What Is a Medical Peer Review?
A medical peer review involves the review and analysis of an insurance claimant’s medical records written by his/her treating physician by another physician employed by the insurance company. This...
Medical Peer Review – a Crucial Step in Workers’ Compensation Claims Processing
Peer review is an important process that helps establish whether a patient is or isn’t receiving appropriate care. It is usually requested by a self-insured employer, insurance carrier, third part...