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Such a distinction also underscores the quality of our work with customers, patients, clients, payors, and providers by demonstrating compliance with national standards for case management, workers compensation utilization management, and health utilization management services as well independent review organization.
In addition, an independent review organization will conduct regular audits and issue reports on CVS's compliance with the terms of the amendment to the CIA.
One of the biggest changes to come from the new regulations is the new layer of external review that says someone other than an insurer, self-funded plan administrator or employer performs a review by an independent review organization, said Abbott.
In its just-released 2002 edition of The Directory to Job, Resume and Career Management Sites on the Web, the independent review organization CAREERXROADS named HealtheCAREERS one of its "50 Best of the Best" Web sites in the online employment industry.
Once the response is received, the case is sent to one of three independent review organizations that contract with the state.
The law allows consumers to have an independent review organization (an outside independent decision-maker) decide whether to uphold or overturn the plan's decision.
MAXIMUS is fully accredited by the Utilization Review Accreditation Commission as an independent review organization, and many of the Company's independent review programs are also ISO 9001:2008 certified.
Formerly President of the National Association of Independent Review Organizations (2005-2007), Feder is a columnist with the Journal of Health Care Compliance.