CIMRO - INDEPENDENT PEER REVIEW

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Independent or external peer review provides an objective, unbiased opinion based on both the patient-specific record and the current standard of practice for the diagnosis/treatment involved. Since 1972, CIMRO has successfully completed nearly 2 million independent reviews. Our extensive peer review network includes nearly 700 physician reviewers representing 77 specialties and subspecialties, as well as allied health professionals in a number of healthcare disciplines. This extensive review panel allows for a true specialty match of the care provided.

Benefits of Peer Review
Hospitals and other healthcare facilities seek CIMRO’s peer review services in order to support their internal quality activities and/or avoid potential conflict of interest concerns. CIMRO assists healthcare organizations in 35 states with accreditation/regulatory, quality improvement, and credentialing activities including standard of care medical record review for specialty physicians in sole practice or those with referral relationships where there is the potential for bias. Click here for CIMRO’s recently published article, Independent Review Supports Transparency.

Range of Independent Peer Review Services Provided

	Quality/standard of care
	Utilization/medical necessity
	Medical imaging
	Coding validation
	Mortality reviews
	Sentinel/adverse events
	Antibiogram reviews
	New technology/procedure
	Experimental/investigational
	Physician practice patterns
	Fair hearing expertise
	Individual peer-to-peer discussions
	Telephonic or onsite educational sessions

CIMRO has an exceptional reputation as a fair and independent review organization. Our reviewers meet rigorous credentialing standards and receive orientation and training in URAC standards and utilization management processes and procedures. In addition, the ongoing recruitment of physician reviewers ensures access to a broad base of expert specialists. Our vast numbers of highly experienced staff and peer reviewers in all specialties allow us to tailor services to meet individual client needs.

Accredited by URAC
We are one of just over 200 organizations in the country to be certified as a Health Utilization Management Organization by URAC. More

Current Service Area
CIMRO's independent review services has grown significantly and currently services are provided in 35 states. More