the blue shield
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the blue shield
Outsourcing Preauthorizations For Improved Outcomes
By: Skip Freedman
Increasingly, medical management firms and managed care organizations are turning to Independent Review Organizations (IROs) to pre-authorize treatments at the forefront of the healthcare decision-making process. Why?
With rapid medical advances, it’s often difficult for these organizations to stay current on the latest medical necessity protocols of many treatments. Whether decisions are for long-term disease management options, such as cancer or diabetes, or for new medically approved treatments such as laser eye surgery, using an IRO in the pre-approval process can help ensure the proper care for a patient prior to the treatment taking place.
By leveraging the services of an IRO in the preauthorization process, organizations can:
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