| 1972 |
CIMRO begins providing utilization/quality
review services for Illinois Medicaid. |
| 1978 |
Professional Standards Review
Organization (PSRO) program phased in with CIMRO performing
Medicare/Medicaid review. |
| 1982 |
Contracts for utilization review
for large employer groups in commercial sector obtained. |
| 1984 |
Designated as a Peer Review Organization (PRO) by HCFA.
Incorporated as Central Illinois Medical Review Organization
as a result of a merger between the East Central Illinois
Foundation for Health Care (ECIFHC) and the Central Illinois
Physician Review Organization (CIPRO). CIMRO performs Medicare
PRO review throughout central Illinois.
|
| 1985 |
Illinois Medicaid review added
to PRO subcontract; Illinois Competitive Access and Reimbursement
Equity (ICARE) program implemented. |
| 1987 |
Review expands to cover 85 counties
in downstate Illinois. |
| 1989 |
CIMRO establishes Medical Review
Services of Mid-America (MRS) to perform Missouri Medicaid review
under subcontract with the state's fiscal agent, GTE Data Services. |
| 1991 |
Certificate of Need (CON) review
for psychiatric admissions for youths age 21 and under added
to Missouri Medicaid contract. |
| 1991/1992 |
Awarded Medicare subcontracts
with Wisconsin and Indiana to perform medical record and DRG
validation reviews. Services include quality assurance monitoring
of review staff and physician reviewer determinations. |
| 1993 |
Implemented statewide contract with the
Illinois Department of Public Aid to perform utilization and
quality review for Medical Assistance clients admitted to
health care facilities.
Subcontracted by Florida Blue Cross/Blue
Shield to perform Medicare medical record review.
|
| 1995 |
Large case management and quality
of care review added as part of Missouri Medicaid contract. |
| 1997 |
Focused quality studies initiated through
the Illinois Medicaid contract as part of CIMRO's commitment
to supporting healthcare improvements.
Awarded contract directly with Missouri
Department of Social Services, Division of Medical Services
for statewide Medicaid review.
|
| 1998 |
Corporate name changed from Central
Illinois Medical Review Organization to CIMRO. |
| |
CIMRO Medical Management, Inc.
(CMMI) established. |
| |
Awarded contract from IDPA's
Bureau of Managed Care as the External Quality Review Organization
for the Medical Assistance managed care program in Illinois. |
| |
Recognized by Business Insurance
magazine as the eighth largest provider of utilization management
services. |
| 1999 |
CIMRO and CMMI awarded full accreditation
as a Health Utilization Management Organization (UMO) by URAC. |
| |
Missouri office changes name to CIMRO.
CMMI awarded full accreditation as an External
Review Organization by URAC.
|
| 2000/2001 |
Performed independent/external
peer review for numerous private sector
contracts. |
| 2002 |
Began conducting independent
peer review for Missouri Department of Insurance. |
| 2003 |
Awarded Nebraska Medicare Contract
and formed CIMRO of Nebraska (CIMRO-NE) to promote quality healthcare
services for Nebraska Medicare beneficiaries.
Awarded Missouri Medicaid Case Management contract.
|
| 2004
|
Awarded Illinois Healthcare and
Family Services (HFS) IRO
contract.
Acquired additional independent review contracts in two states.
|
| 2005 |
Awarded contract with Triad Hospitals, Inc.
Awarded contract with large university hospital for
mortality reviews
Awarded quality oversight contract with Critical Access
Hospital to assist in meeting the CAH's federal conditions of
participation
|
| 2006 |
Current contracts expand
CIMRO's review and quality improvement expertise to 23 states
|
| 2007 |
Awarded a Strategic Service
Partner agreement with QHR. CIMRO's contracts expand to
29 states.
|
| 2008 |
Awarded Independent Peer Review
contract with LifePoint Hospitals, Inc.
|
| 2008 |
Nebraska Medicare Contract
re-awarded non-competitively.
|
