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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
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Quality/standard of care
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Utilization/medical
necessity
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Medical imaging
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Coding validation
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Mortality reviews
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Sentinel/adverse events
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Antibiogram reviews
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New technology/procedure
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Experimental/investigational
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Physician practice
patterns
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Fair hearing expertise
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Individual peer-to-peer
discussions
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Telephonic or onsite
educational sessions
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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
CIMRO
Facts (pdf)
| Peer Review Process (pdf) |
Review Panel (pdf)
| Testimonials (pdf) | Pricing (pdf)
| Brochure (pdf)
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