AllMed Launches First-Level Physician Review Workflow Software: MedCert

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MedCert extends PeerPoint® medical review portal platform, enabling first level physician review outsourcing for medical management companies and health plans.

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AllMed Healthcare Management, a leading Independent Review Organization (IRO), has released MedCert, a new medical pre-authorization service and software system allowing utilization review and case management organizations to augment their internal medical staff capabilities and achieve cost savings through outsourcing first-level physician reviews. MedCert is deployed in AllMed’s popular web-based medical review workflow platform: PeerPoint®.

MedCert was developed to help healthcare payer organizations meet their ongoing cost reduction goals through first-level physician review outsourcing. The MedCert platform allows utilization review and case management units to draw on remotely-based physician reviewers and Medical Directors to review and make first-level approvals and denials.

“MedCert represents AllMed’s continued investment in medical review technologies and services that help payer organizations to reduce costs and improve their turnaround times,” said Andrew Rowe, AllMed’s CEO. “Healthcare organizations are increasingly looking to outsource their medical reviews to either free up their Medical Directors for higher valued-added work, or to move physician reviews from fixed to variable costs. The MedCert solution plays perfectly into this trend.”

All MedCert reviews are handled by AllMed’s staff of Medical Directors and online physicians, who are all board-certified in emergency medicine, family practice and/or internal medicine. Case requests and medical review questions are routed through the PeerPoint®, AllMed’s web-based medical review portal software. The work product is a short determination statement and rationale that can be copied or electronically routed into a payer’s medical management software. Case-related communications are efficiently managed through MedCert’s threaded discussion capability, or via AllMed’s MedConsult Hotline, which is staffed by AllMed’s Medical Directors.

About AllMed

Founded in 1995, AllMed Healthcare Management is a URAC-accredited independent review organization (IRO), serving leading healthcare payer organizations nationwide. AllMed’s independent review services help to improve healthcare utilization, quality, and physician performance, while reducing unnecessary costs. Clients include insurance carriers, utilization review and case management organizations, TPAs and stop-loss carriers. All reviews are conducted by AllMed’s panel of over 400 leading peer specialists, who are licensed, board-certified and in active practice.

Contact AllMed at http://www.allmedmd.com or by calling 1-888-289-6015

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Brent Moszer
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