{"id":172,"date":"2019-04-23T19:42:24","date_gmt":"2019-04-23T19:42:24","guid":{"rendered":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/?page_id=172"},"modified":"2022-08-22T15:38:02","modified_gmt":"2022-08-22T15:38:02","slug":"independent-physician-review","status":"publish","type":"page","link":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/our-services\/independent-physician-review\/","title":{"rendered":"Independent Review Organization"},"content":{"rendered":"\n \r\n\t\t<p class=\"leading secondary\">\r\n\t\t\tAmalgamated Medical Care Management offers Independent Review Services for hospitals, health care systems and managed care organizations nationwide. These services support the full array of state and federal regulatory-mandated appeals in full compliance with URAC, as well as all \u201cPatient Protection and Affordable Care Act\u201d requirements.\t\t<\/p>\r\n\t\t\n\n\n\n<h2 class=\"wp-block-heading\">A full scope of Independent Review services feature:<\/h2>\n\n\n\n<ul><li>First level pre-certification\/concurrent review<\/li><li>First and second level appeals<\/li><li>Expedited appeals<\/li><li>Retrospective services<\/li><li>Investigative\/experimental assessments<\/li><li>Medical claims reviews including coding<\/li><li>Physician consultation<\/li><li>Quality of care assessments<\/li><li>Disability and Accidental Death and Dismemberment (AD&amp;D) reviews<\/li><li>Pharmacy reviews<\/li><li>Accredited pursuant to URAC standards<\/li><\/ul>\n\n\n\n<p>Amalgamated&#8217;s IRO Services rely on a network of over 250 doctors in 70 different medical specialties; an important attribute when appeals occur and require the expertise of a specialist.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A full scope of Independent Review services feature: First level pre-certification\/concurrent review First and second level appeals Expedited appeals Retrospective services Investigative\/experimental assessments Medical claims reviews including coding Physician consultation Quality of care assessments Disability and Accidental Death and Dismemberment (AD&amp;D) reviews Pharmacy reviews Accredited pursuant to URAC standards Amalgamated&#8217;s IRO Services rely on a&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":95,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/pages\/172"}],"collection":[{"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/comments?post=172"}],"version-history":[{"count":1,"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/pages\/172\/revisions"}],"predecessor-version":[{"id":696,"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/pages\/172\/revisions\/696"}],"up":[{"embeddable":true,"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/pages\/95"}],"wp:attachment":[{"href":"https:\/\/www.amalgamatedbenefits.com\/amalgamated-medical-care-management\/wp-json\/wp\/v2\/media?parent=172"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}