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Reviewing Healthcare. Improving Quality.



Independent Medical Review Process Steps


Strict adherence to specified time frames is accomplished through a well-devised process. The following table briefly outlines each step of our independent medical review program.


Client notifies Permedion of case to be reviewed.


Fax or phone call directed to our administrative support associate
Message retrieved from independent review voice mail box (after hours)
Preliminary review information and parameters shared


Permedion selects appropriate reviewer(s) for case(s).


Peer-matched
Necessary qualifications and credentials
No conflict of interest
Knowledge of recommended treatment through actual, current clinical experience


Permedion receives medical record and supporting materials.


Information reviewed to determine completeness
If necessary, additional information is requested


Permedion sends case materials to reviewer(s) to consider:


All relevant documents
If treatment is medically necessary, appropriate, effective, and efficient
Peer-reviewed literature
Clinical guidelines


Permedion reviewer(s) completes report.


Report sent to Permedion
Quality assurance review is performed


Permedion notifies reviewer immediately if report or other information is incomplete.


Permedion Medical Director reviews report.


Provided with copy of patient chart, all research materials, copies of reviewer reports and findings


Permedion provides final report on or before requested date.


For More Information


Please call Sue Butterfield at (800) 473-0802 or contact us electronically. Go


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