Mitchell MCN’s IRO Operations Manager Jennifer Grubbs is featured as an industry expert in this month’s edition of The Self-Insurer. Recently re-accredited by URAC, we have been providing a full range of IRO reviews and related services since 2010; our company was founded in 1985.
As a premier national Independent Review Organization, Mitchell MCN has a contracted, accredited panel of more than 25,000 reviewer scheduling options.
We provide personalized account management with 24/7/365 availability through an after-hours phone line and monitored email address, regular stewardship meetings and reporting, and client-specific, specialized products and protocols.
We follow the strict standards of our Quality Initiative to all of our services, including regularly auditing all IRO case outcomes by applying our Inter-Rater Reliability System (IRR), reviewing any possible outliers in terms of consensus among medical providers related to current Standards of Care.
A more comprehensive listing of review types include:
- Initial and Appeals Level Reviews
- Independent Provider Audits
- Fraud, Waste, and Abuse (FWA) Reviews
- Medical Policy Reviews
- Peer-to-Peer Conversations
- Quality of Care/External Quality Reviews
- Formulary Except Reviews
- Coding Reviews
Reach out today for a demonstration and to learn more!