By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    health benefits of taking a vacation to reduce stress
    Relaxing European Destinations to Reduce Stress Risks to Health
    October 11, 2021
    pain management tips
    Managing Pain Differently: Alternative Pain Management Techniques
    January 12, 2022
    5 Ways to Promote Wellness in Your Home
    April 12, 2022
    Latest News
    What To Expect On A Meditation Retreat In Miami
    February 6, 2023
    Botanical Extracts That Should be on Your Health Radar
    February 5, 2023
    Navigating Medical Care as a Wheelchair User
    February 4, 2023
    4 Common Myths and Misunderstandings About Brain Injuries
    February 5, 2023
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Kratom – a Solution for Opioid Addiction?
    February 5, 2021
    English: U.S. President delivers the while sta...
    Obama to Congress: Quality, not Quantity of Care
    February 13, 2013
    Is The Future Of Injectable Drug Delivery In Needle-Free Devices?
    February 16, 2021
    Latest News
    Why Is a Referenced Based Pricing Tool Necessary?
    February 3, 2023
    Simplifying the Genetic Testing Process: How At-Home Kits are Changing the Game
    January 25, 2023
    9 Hospitals That Have Introduced Green Initiatives
    February 1, 2023
    Why a Health Retreat Can Be the Best Medicine
    January 12, 2023
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Eliminating Risk with Independent Review Organizations & External Reviews
Share
Sign In
Notification Show More
Latest News
meditation retreat
What To Expect On A Meditation Retreat In Miami
Health
Guide To Pursuing a Career in Nursing as a Foreigner in the USA
Guide To Pursuing a Career in Nursing as a Foreigner in the USA
Career
Botanical Extracts
Botanical Extracts That Should be on Your Health Radar
Health
Navigating Medical Care as a Wheelchair User
Navigating Medical Care as a Wheelchair User
Health
common misconseptions about brain injuries
4 Common Myths and Misunderstandings About Brain Injuries
Health
Aa
Health Works CollectiveHealth Works Collective
Aa
Search
Have an existing account? Sign In
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > Eliminating Risk with Independent Review Organizations & External Reviews
BusinessFinanceGlobal HealthcareHealth ReformHospital AdministrationMedical EthicsMedical RecordsPolicy & LawTechnology

Eliminating Risk with Independent Review Organizations & External Reviews

Moira O'Connell
Last updated: 2015/10/14 at 8:20 PM
Moira O'Connell
Share
4 Min Read
mitigating-risk-II-e1383041558507
SHARE

We’ve been talking a lot lately about how and where Independent Review Organizations, or IROs, fit into denial management. The Peer Review process, which brings in an unbiased third party to help alleviate the pressure of reviewing claims, is an essential part of denial management.

Contents
1. Improving Documentation2. Uncovering Internal Issues3. Reduce Conflicts of Interest4. Increase QualityDo you want to know more about mitigating risk through IROs? Click on the image below for our free white paper!

We’ve been talking a lot lately about how and where Independent Review Organizations, or IROs, fit into denial management. The Peer Review process, which brings in an unbiased third party to help alleviate the pressure of reviewing claims, is an essential part of denial management. We’ve touched on many of the different benefits of IROs in previous blog posts, from how they affect your ROI to how they bring specialized expertise to reviews. This blog post focuses on the four main ways IROs and external reviews can help eliminate risk within your organization.

 

1. Improving Documentation

Having an external reviewer, who is often a peer, can help ensure physicians pay closer attention to detail and documentation. Attention to detail and accuracy are key to reducing error and the possibility that an external review will be needed. By helping encourage double-checking and accuracy, IROs help reduce risk on the back-end, which in turn effects your ROI.

More Read

benefits of going on a health retreat

Why a Health Retreat Can Be the Best Medicine

Best Money-Saving Tips for Health Managers
HR Must Navigate Polarizing Views in Healthcare Workplaces
Should Hospitals Use SASE or Traditional Network Security?
Patient Tracking Systems: Improving Facilities for Patients and Medical Staff

2. Uncovering Internal Issues

External reviews help you discover issues that might lie within your organizational structure, whether that is physician specific, event specific or even organization based. Deeper issues can be brought the surface because of external reviews. By bringing these issues to the surface external reviews help address these problems in a timely manner. Uncovering and addressing organizational issues is a key way IROs help to reduce risk and the potential of malpractice or litigation.

3. Reduce Conflicts of Interest

The certification of External reviewers and the review process help to ensure that there are no conflicts of interest between reviewers or at the organization level. When it comes to specific cases/reviews, an organization is required to certify that there are no conflicts of interest at the organization level. The same is required of the reviewer. This helps reduce any risk that there might be a conflict of interest that could negatively impact a review.

4. Increase Quality

IROs help improve member satisfaction through provision of an unbiased, evidenced-based external determination. IROs have a standard set criteria that guide decision-making and use the latest technology, helping to increase the quality of care your organization provides. Since reviews are based purely on the fact that they provide unbiased decision, your staff can rest assured that their decision-making abilities won’t be questioned. By freeing up medical directors and other administrators, external reviews ensure that executive staff can spend less time with the administrative burden and deal with larger tasks as needed.

Do you want to know more about mitigating risk through IROs? Click on the image below for our free white paper!

mitigating-risk-II-e1383041558507

Find the original blog post here.

Sign Up For Daily Newsletter

Be keep up! Get the latest breaking news delivered straight to your inbox.
By signing up, you agree to our Terms of Use and acknowledge the data practices in our Privacy Policy. You may unsubscribe at any time.
Moira O'Connell October 14, 2015
Share this Article
Facebook Twitter Copy Link Print
Share
Previous Article Why Your Marketing Strategy Should Include Direct Mail
Next Article How to Get More Mileage out of your Healthcare Content

Stay Connected

1.5k Followers Like
4.5k Followers Follow
2.8k Followers Pin
136k Subscribers Subscribe

Latest News

meditation retreat
What To Expect On A Meditation Retreat In Miami
Health February 6, 2023
Guide To Pursuing a Career in Nursing as a Foreigner in the USA
Guide To Pursuing a Career in Nursing as a Foreigner in the USA
Career February 5, 2023
Botanical Extracts
Botanical Extracts That Should be on Your Health Radar
Health February 5, 2023
Navigating Medical Care as a Wheelchair User
Navigating Medical Care as a Wheelchair User
Health February 4, 2023

You Might also Like

Health care

Why Is a Referenced Based Pricing Tool Necessary?

February 3, 2023
The Future Of Medicine: How Immunotherapy Is Saving Lives
Technology

The Future Of Medicine: How Immunotherapy Is Saving Lives

January 26, 2023
medical practice and technology advancement
Technology

6 Essential Strategies for Improving Your Medical Practice

January 25, 2023
at-home genetic testing method kits
Global Healthcare

Simplifying the Genetic Testing Process: How At-Home Kits are Changing the Game

January 25, 2023
//

We influence million of users and is the most authentic source of information on healthcare business and technology news.

Quick Links

  • About
  • Contact
  • Privacy
Subscribe

Subscribe to our newsletter to get our newest articles instantly!

Follow US

© 2008-2023 HealthWorks Collective. All Rights Reserved.

Removed from reading list

Undo
Welcome Back!

Sign in to your account

Lost your password?