Peer Review Process
Sending a Case for Review | The process is easy.
Questions on the Request for Review form include:
CIMRO's nurses are available to discuss your review concerns prior to receipt of the case. We work with you to ensure that the questions posed to the physician / clinical peer reviewer will provide the detail needed by your Medical Executive or Peer Review Committee. Our reviewers always address an overall “Was standard of care met?” in addition to the specific questions posed in each case.
- Complete a Request for Review form that clearly delineates the focus of the review.
- Attach the Request for Review form to each record.
- Notify CIMRO at PeerReview@cimro.com or 1.800.635.9407 that case(s) are being sent.
Questions on the Request for Review form include:
- Number of medical records
- Physician specialty requested
- Indication if the case may result in a fair hearing
- Whether the case is standard or expedited
- Specific questions to be addressed by the reviewer
CIMRO's nurses are available to discuss your review concerns prior to receipt of the case. We work with you to ensure that the questions posed to the physician / clinical peer reviewer will provide the detail needed by your Medical Executive or Peer Review Committee. Our reviewers always address an overall “Was standard of care met?” in addition to the specific questions posed in each case.
Reviewer Selection & Processing the Review
When your record(s) are received, nurses perform a cursory review to ensure all necessary information is present for our peer reviewer to conduct the review. If information is missing from the record, CIMRO staff will contact you and request the needed information. We match cases by specialty, and select a reviewer from our panel of nearly 450 board certified, actively practicing peer reviewers. When a determination has been rendered, a detailed report of review findings is prepared.
Report of Findings & Time Frames
A comprehensive report regarding the findings of each case will be provided to you within 30 calendar days of receipt. Expedited reviews may be conducted upon request. We provide reports electronically via ShareFile - CIMRO’s HIPAA compliant, secure file transfer mechanism, or when requested, by fax or mail. Request Sample Report
Customer Satisfaction
We strive for excellence. If we have missed the mark, we own up to our shortcoming and take measures to correct the situation. On occasion you will be asked to measure your satisfaction with our service. We value your feedback in order to continually improve the services we provide. Integrity