Trans4mind Home Page
~ Making the Human Heart Visible ~

Looking for a better life?

Our online, interactive video workshops present the most effective methods of holistic personal development, combined with personal support from expert life coaches.

Explore Article Library


Outsourcing Preauthorizations For Improved Outcomes

By AllMed Healthcare Management

Increasingly, medical management firms and managed care organizations are turning to Independent Review Organizations (IROs) to pre-authorize treatments at the forefront of the healthcare decision-making process. Why?

With rapid medical advances, it's often difficult for these organizations to stay current on the latest medical necessity protocols of many treatments. Whether decisions are for long-term disease management options, such as cancer or diabetes, or for new medically approved treatments such as laser eye surgery, using an IRO in the pre-approval process can help ensure the proper care for a patient prior to the treatment taking place.

By leveraging the services of an IRO in the preauthorization process, organizations can:

Ensure medical treatment decisions are based on proven medical science

Reduce the number of unnecessary, experimental and out-of-protocol treatments that increase health plan costs

Gain access to specialist expertise that does not exist inside the organization so that highly informed assessments are made on each and every patient

Obtain a needed buffer for cases where there might be any real or perceived conflict of interest

Improve the quality of care, by ensuring that each patient/member receives the treatment they deserve.

Cases sent out for pre-approval to an IRO tend to be complicated and cover a wide range of specialty areas. For example, surgeries traditionally categorized as cosmetic, such as orthoganathic (misaligned jaw), bariatric (obesity) or blepharoplasty (eyelid) surgeries are now often determined to be medically necessary, and therefore approved medical procedures.

The best way to ensure decisions are made accurately, timely and with confidence is to rely on the outside expertise of a third-party organization that can ensure correct treatment decisions for every patient.

For more information on how a leading medical management firm uses AllMed to improve its preauthorization process, view our American Health Holding Case Study (http://www.allmedmd.com/resources/downloads/app_amhealth.htm)

About The Author

AllMed Healthcare Management Founded in 1995, AllMed (http://www.allmedmd.com, https://allmedmd.com/blog/index.htm) is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed's growing customer base includes premier organizations, such as Educator's Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers.

info@allmedmd.com


AND EXPLORE...

Addictions
Astrology
Careers & Employment
Communication
Creativity
Dating
Depression
Diabetes
Diets
Divorce
Education
Environment
Ethics
Exercise
Family
Goal-Setting
Grief & Loss
Happiness
Health
Kids & Teens
Leadership
Love
Marriage
Meditation
Nutrition
Organizing
Parenting
Psychology
Public Speaking
Relationships
Schools
Self Help
Self Improvement & Motivation
Sexual Relations
Spirituality
Stress Management
Travel and Leisure
Women
Writing


From our extensive site, you'll find good info on many topics using this search:

Support your personal development with these popular and effective hypnosis downloads...

  • Public Speaking Fear ~ Banish speaking anxiety and nerves with hypnosis.
  • Motivate Yourself to Exercise ~ Build a powerful exercise habit that you can't break.
  • Get Rid of Fear & Anxiety ~ Stop worry and apprehension wrecking your life.
  • Self Esteem ~ Break the negative trance of low self esteem and give yourself a chance in life.
  • Create Your Own Reality ~ Use the power of your unconscious mind to transform your life.
  • Deeper Self Respect ~ Use hypnosis to connect with your true inner worth.
  • Detach From Fear ~ Tune out nervousness and anxiety with hypnosis.
  • Improving Concentration and Focus ~ Learn how to discipline, direct and command your mind to improve your performance.
  • Exercise Motivation ~ Give you powerful keys to getting back on track with your exercise - and staying there.
  • Overcoming Shyness ~ Provides an invisible security blanket allowing you to develop social ease and overcome shyness.
  • Quick Confidence Booster ~ An audio hypnosis session that's specifically designed to get you (quickly!) back on track.
  • Stop Negative Thoughts ~ Learn powerful hypnotic techniques to stop negative thoughts before they start.
  • Overcoming Procrastination ~ Let hypnosis help you get on with what you need to do, when you need to do it. Let nothing hold you back.
  • Think Thin ~ Use hypnosis to re-train your brain and lose weight naturally... that's how to get and stay slim.
  • Fall Asleep Fast ~ Relearn how to fall asleep fast and enjoy a good night's sleep.
  • The Next Level ~ Designed to radically boost your performance in any field. It's based on a technique used by top athletes and other successful people to help them make a big stride forward.
This is our selection of favorites, but there's a session for every need! Choose from over 800 Hypnosis Downloads...
Search now on an issue that interests or concerns you...
 
Get a free Hypnosis Download at Facebook
Copyright © 1997-2016 Trans4mind Ltd