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AllMed Healthcare Management, Inc.

AllMed is a third party independent review organization. They are an URAC-accredited IRO (Independent Review Organization) founded in 1995 and are located in Portland, Oregon. AllMed provides independent medical reviews and hospital peer reviews to healthcare organizations, insurance payers, medical managers, claims managers and third party administrators looking to control healthcare costs, while doing the right thing for patients every time.

Services for Healthcare Payers

Healthcare payers use the expertise of an IRO like AllMed to make evidence-based medical necessity determinations for their clients. AllMed provides the needed outside specialists to review and then approve or deny the claim based on medical evidence specific to each patient’s case.

With over 400 licensed and board-certified specialists in active practice, clients can expect reviews of the highest quality from leading specialists in their field. In addition, clients receive a very quick turnaround time, and in some cases, that time is expedited to less than 24 hours. This accelerated process in turn can help to raise the integrity of our health care system by ensuring patients receive the coverage they deserve, every time.

The services that AllMed provides to healthcare payers include:

-Member Grievances & Appeals

-Preauthorization Reviews

-Concurrent Reviews

-Provider Grievances and Appeals

-Quality of Care Reviews

-Medicare & Medicaid Reviews

-Clinical Care Guideline Development

-Medical Policy & Plan Language Reviews

-Peer Review Panels

-Medical Director Services

External Peer Review for Hospitals & ASCs

Hospital practitioners need to be evaluated regularly in order to assure physician performance and quality in patient care. Quality performance and patient care assures an organization's survival and it translates into good accreditation and reputation.

External Medical Reviews are also important because new joint commission peer review and credentialing standards demand hospitals implement rigorous procedures. This helps ensure accountability and improve practitioner performance.

PeerScore (SM) services from AllMed not only help hospitals meet compliance standards but help improve performance. PeerScore has a solution for focused and ongoing professional practice evaluations (FPPE and OPPE)

PeerScore adopts a proactive, systematic, and evidence-based appraisal of credentials, privileges, sentinel events and sensitive performance issues rather than external peer review to react to negative events.

To get more information on PeerScore and external review, download the PeerScore Brochure, or watch the informative video.

The AllMed Difference

With over 400 specialists in addition to a team of in-house doctors, the customer service at AllMed is second to none. Physicians are made readily available for free advice and consultation to clients on on a particular review, plan language or medical policy.

100% Client Satisfaction Guarantee

AllMed offers an unconditional quality and turnaround time guarantee on every medical review to all of its clients. If you’re not completely satisfied with every aspect of our service at any time, the review is on us and we fix it to your satisfaction, no questions asked.

Online Reviews with PeerPoint Workflow

Using AllMed’s secure online review software, you can send and receive cases electronically, monitor case status, and download automatic reports that help you identify trends and make medical policy adjustments.

Further Advantages of Hiring AllMed

It is easy to keep informed of the ongoing process using the AllMedMd.com software. You can track the status of a claim, and there are even updates of reports which follow the trends in medicine in order to help provide proper decisions pertaining to medical claims.

Pricing is client specific. Some clients require intermittent cases and are offered a standard or expedited price, which is billed by the hour. Clients that require more case reviews are billed using a flat rate or by a monthly billing method. They also offer some clients retainer-based fees.

If for any reason the client is not satisfied with the results of the medical review, not only will AllMedMd.com work to amend the situation until the client is happy, but they will waive the fee for the review.

AllMed keeps all medical records and health documents private under the Health Insurance Portability and Accountability Act. Everything is confidential and secure.

Staff Profile

Employee Profile

"Andrew Rowe has 25 years of progressive experience in leading growth-oriented businesses in the healthcare, technology and industrial sectors. He joined AllMed in 2002. Prior to that Mr. Rowe served as Executive Vice President, shareholder and Board member of Cascade General in Portland, Oregon. Under his leadership, the company grew from $44 million to over $110 million in average annual revenues. Prior to that, Mr. Rowe was Vice President at Adept Technology, a Silicon Valley start-up which grew to international leadership in factory automation robotics and software supplied to Fortune 500/Global 2000 manufacturers. He had P&L responsibility for more than $60 million in revenues and managed both domestic and international field operations. The company went through a successful IPO in 1995. Mr. Rowe holds a BA “with distinction” in International Economics and Latin American studies from George Washington University."

Testimonials

If there’s ever a question about the content of an AllMed review, it’s very easy for us to pick up the phone and get an answer quickly because they understand our deadline situation. AllMed by far offers the best customer service.

Dr. Robert Grossman, Medical Director, HealthGuard of Lancaster, Inc.

Influence Us

Additional Information

• Take a look at the Career Section.
• Health Care Glossary
• AllMed in the News

Social Media Presence

• LinkedIn
  • : [}}} LinkedIn] for Sean Wolverton
  • : [}}} LinkedIn] for Skip Freedman
  • : [}}} LinkedIn] for Andrew Rowe

• Twitter
  • : @AllMedMd
  • : @swolverton

• Facebook
  • Template:FaceBook

• Medical Review Blog

Languages

English

Address

AllMed Healthcare Management, Inc.

621 SW Alder St, Suite 740

Portland, OR 97205

Contact

Toll Free: 1-888-289-6015

Fax: 503-223-6244

Visit the Contact Us Page

Related Domains

External Links

• Alexa: AllMedMd.com
• WHOIS for AllMedMd.com