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Benefits of a High Fiber Diet
Diets low in saturated fat and cholesterol and high in fiber are associated with a reduced risk of certain cancers, diabetes, digestive disorders, and heart disease. Diets low in fat and rich in fiber-containing grain products, fruits, and...
Erectile Dysfunction - Discover More About Its Causes and The Various Ways To Cure Impotence Problem
What is Erectile Dysfunction?
Impotence, or commonly known as erectile dysfunction, is the inability to achieve and sustain an erection hard enough or long enough for sexual intercourse. This disorder is also commonly known as erectile dysfunction....
Stubborn Obesity is Immune! Naturopathic Research Says Lose the Weight and the Guilt: Gain Immunity
In the weight loss industry, it is often reported that some 70% of clients are ‘repeat offenders’ or Recidivists. What can we glean from this startling statistic?
A) We are all terribly weak willed, B)We are all incredibly lazy, C) We are all...
The Raw Food Solution with Paul Nison
"Your food shall be your remedies, and your remedies shall be your food." -- Hippocrates "Always take a good look at what you're about to eat. It's not so important to know what it is, but it's critical to know what it was." --Texas Bix Bender,...
Understanding hair loss and what you can do about it
As you are quite aware hair loss is quite normal. Often as some
hairs fall out, others replace it. Sometimes this can however
due to a few conditions. Factors like hormonal changes, stress,
poor diet, emotional TRAMA are just to name a few. As...
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Outsourcing Preauthorizations For Improved Outcomes
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:
Ensure medical treatment decisions are based on proven medical science
Reduce the number of unnecessary, experimental and out-of-protocol treatments that increase health plan costs
Gain access to specialist expertise that does not exist inside the organization so that highly informed assessments are made on each and every patient
Obtain a needed buffer for cases where there might be any real or perceived conflict of interest
Improve the quality of care, by ensuring that each patient/member receives the treatment they deserve.
Cases sent out for pre-approval to an IRO tend to be complicated and cover a wide range of specialty areas. For example, surgeries traditionally categorized
as cosmetic, such as orthoganathic (misaligned jaw), bariatric (obesity) or blepharoplasty (eyelid) surgeries are now often determined to be medically necessary, and therefore approved medical procedures.
The best way to ensure decisions are made accurately, timely and with confidence is to rely on the outside expertise of a third-party organization that can ensure correct treatment decisions for every patient.
For more information on how a leading medical management firm uses AllMed to improve its preauthorization process, view our American Health Holding Case Study (http://www.allmedmd.com/resources/downloads/app_amhealth.htm)
About The Author
AllMed Healthcare Management Founded in 1995, AllMed (http://www.allmedmd.com, http://www.allmedmd.com/blog/index.htm) is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed's growing customer base includes premier organizations, such as Educator's Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers.
info@allmedmd.com
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| American Diabetes Association Home Page |
| Their mission is to prevent and cure diabetes and to improve the lives of all people affected by this disease. Available in English and Spanish. |
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| Canadian Diabetes Association |
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| diabetes.diabetesjournals.org |
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| CDC Diabetes Public Health Resource |
| The diabetes information homepage of the US Centers for Disease Control and Prevention, provided by the CDC’s Division of Diabetes Translation. |
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| National Diabetes Information Clearinghouse |
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| diabetes.niddk.nih.gov |
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| Diabetes mellitus - Wikipedia, the free encyclopedia |
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| en.wikipedia.org |
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| MedlinePlus: Diabetes |
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| www.nlm.nih.gov |
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| MedlinePlus Medical Encyclopedia: Diabetes |
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| Diabetes |
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| diabetes.about.com |
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| WebMD Diabetes Health Center - Information on Type 1 and Type 2 ... |
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| Diabetes Overview |
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| www.niddk.nih.gov |
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| Diabetes News - The New York Times |
| A free collection of articles about diabetes published in The New York Times. |
| topics.nytimes.com |
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| children with DIABETES Online Community |
| An online community for kids, families, and adults with diabetes, featuring message boards, chat rooms, and questions/answers from medical professionals. |
| www.childrenwithdiabetes.com |
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| International Diabetes Institute - Diabetes Research, Education ... |
| The International Diabetes Institute is the leading national and international centre for diabetes research, diabetes education and diabetes care. |
| www.diabetes.com.au |
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| Diabetes New Zealand |
| Educates and informs people about diabetes, its treatment, prevention, and cure of diabetes. |
| www.diabetes.org.nz |
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