AllMed Publishes 'Cutting Edge' to Help UR & Claims Professionals Keep Pace with Latest Medical Necessity Trends

Share Article

Medical review guide discusses medical necessity of leading-edge treatments

We're hoping that this medical review guide will be a resource that health insurance payers can use to provide their enrollees with the best quality-of-care, by staying more up-to-date about the medical necessity of different treatments

AllMed Healthcare Management, a national independent review organization (IRO), announced today that it is publishing a medical review guide called the "Cutting Edge." The "Cutting Edge" will focus on providing updates on the medical necessity complex and changing medical treatments used by doctors as the standard-of-care. The free guide is for UR professionals and health care claims professionals who work at health insurance carriers, medical management firms, third-party administrators (TPAs), managed-care organizations, self-insured organizations, HMOs, unions, trusts and reinsurers.

AllMed created the "Cutting Edge" because the pace of change in medically necessary treatment is so rapid that only specialists in a narrow field can keep up with the ever-changing information dealing with what is a medically necessary. "We're hoping that this medical review guide will be a resource that health insurance payers can use to provide their enrollees with the best quality-of-care, by staying more up-to-date about the medical necessity of different treatments," said Andrew Rowe, AllMed's CEO.

AllMed's team of hundreds of physician specialists writes the "Cutting Edge" and each article considers current medical literature. Each edition will carry several in-depth medical articles. The first issue includes articles on penile rehabilitation after radical prostatectomy, multiple myeloma, determining the medical necessity of insulin pumps and shockwave therapy for plantar fasciitis.

How to get the "Cutting Edge"
To receive a copy of the "Cutting Edge" medical review guide, and receive future issues, go to http://www.allmedmd.com/peerpoints/cuttingedge/cutting_edge_form.htm and simply fill out the form. AllMed will then provide a link you download the latest copy of the "Cutting Edge" and put you on the list announcing upcoming issues.

AllMed also publishes a free monthly newsletter, "PeerPoints: Informed Decisions for Better Healthcare," that covers how payors deliver healthcare to those who deserve it based on plan language and their medical need. Because yesterday's standard-of-care yesterday may not be today's, "PeerPoints" helps health-plan case managers make the tough calls about the medical necessity of a treatment. To receive "PeerPoints" sign up by visiting http://www.allmedmd.com fill out the PeerPoints Newsletter form and check the "Payors" box.

About AllMed Healthcare Management
Founded in 1995, AllMed is a URAC-accredited independent review organization (IRO) serving leading health care payors, medical management firms and hospital groups, nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed's growing client base includes premier organizations, such HealthNet, American Health Holding, several Blue Cross/Blue Shield organizations, TriWest Healthcare Alliance, as HCA, Tenet Healthcare, and other leading healthcare firms. More information about AllMed can be found on the company's website.

###

Share article on social media or email:

View article via:

Pdf Print

Contact Author

Martin Middlewood
Visit website