Seattle, WA (PRWEB) November 15, 2012
Medical Consultants Network (MCN) is experiencing rapid growth in the group health sectors through expansion of their recently launched Independent Review Organization (IRO) division. As an IRO, MCN is certified through URAC, the leading national health care accrediting body. Health insurance carriers and patients seek IRO services when coverage decisions are appealed with respect to questions of medical necessity or contractual applicability.
Among its many mandates, the federal Affordable Care Act (ACA) established federal regulations on health coverage appeals, requiring carriers to utilize multiple URAC-accredited Independent Review Organizations. MCN has seen substantial growth providing appeals reviews for a multitude of health insurance carriers and state agencies.
“Our IRO division is a logical extension of our strategy to provide national medical judgment services,” says Brian L. Grant MD, company Founder and Medical Director. “We are able to leverage our extensive network of expert physicians and other medical consultants in every specialty and state to serve a national client base in the largest health care sector.”
MCN’s IRO division builds upon the expertise of the company’s medical peer review division which has been successfully serving workers’ compensation, disability, and liability carriers since its founding in 1985.
The success MCN is seeing in the group health sector can be credited to MCN’s focus on clinical integrity, maintaining the highest of physician credentialing standards, and providing evidence-based determinations. Appeals reviews can be highly contested between the patient/treating provider and the health plan. The IRO is relied upon to provide an independent and objective opinion in these circumstances.
MCN’s ability to select a physician for each review from a vast panel of specialists nationwide is a unique advantage among Independent Review Organizations and allows for a selection of reviewers who are not only trained to complete the review, but also whose medical credentials meet the highest standards set by URAC as well as federal and state regulations, and have the clinical expertise to address the treatment or service under review.
The combination of MCN’s fully integrated nationwide systems, physician network, and staff policies results in an efficient and conflict-free client experience.
About Medical Consultants Network (MCN): MCN is the premier national provider of medical judgment services including independent medical evaluations, and medical peer reviews with a focus on Utilization Reviews. Founded in 1985 in Seattle, physical facilities and staff are located nationwide. Clients include insurance carriers, corporations, local and national government and the legal profession. If you are interested in learning more about MCN connect with them on their Website, Twitter, Blog, or Linkedin.