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!