How Medical Peer Review Support Services Benefit Healthcare Organizations

To facilitate the procedure, many professional companies provide medical peer review support services to benefit healthcare organizations. Support for peer-review is necessary to deal with complex care management issues, worker’s compensation cases, disability claims, group health claims, liability claims, and so on.

Comprehensive Support Services for Medical Record Review

The evaluation of the services provided by physicians is done by conducting a review of inpatient and outpatient services such as hospital use, appropriateness of patient admission, length of stay, services provided and discharge policies. This requires the examination and organization of various medical records in a healthcare organization. Medical peer review involves:

• Collecting and classifying medical records
• Medical chart review
• Checking for missing information
• Chronological listing of medical records
• Indexing of medical records
• Checking data for compliance and thoroughness
• Comprehensive formatting of collected information
• Organization of medical case summaries and histories
• Creation of timelines

Care has to be taken to see that this review is done in keeping with HIPAA guidelines. Efficient service providers handle all patient records with the necessary confidentiality and security.

Efficient Peer Review Limits Litigation Risks

Healthcare organizations conduct the review for cases such as:

• Readmitting of patient within 48 hrs of discharge
• Unexpected hospital death
• Adverse reaction to drug
• Infection acquired in the hospital
• Maternal death, bleeding, or unplanned surgery
• Unplanned shifting of patient to intensive care
• Unplanned return to operating room after surgery

Such cases are litigation-prone, and could affect the hospital’s reputation and revenue. Medical review companies provide competent support services for hospitals to continually assess physician competence, improve the quality of patient care, and avoid litigation.

Locate an Efficient Service Provider

It is important to find an efficient provider of medical peer review support services. This would enable healthcare organizations to benefit from a range of review solutions for all types of medical records and documentation for utilization review, medical necessity review, and much more. A reliable service provider would have a team of peer review specialists to offer customized solutions for all major medical specialties and subspecialties.

Stop Worrying and Use Your Head

* Decide how much money you need and write it down on a blank piece of paper. Be brave and write exactly how much you need to solve the problem – even if looks unrealistic.

* Start with what you’ve got today: write down everything you own, what your interests are, who your contacts are, what skills you’ve got and what knowledge you have (eg. I am a medical secretary and know a lot of medical terminology and how hospitals work). You probably have specialist knowledge too. Keep adding things as you remember them. This list is your “tool kit”.

* Use your head: have a think session (not to worry) but to imagine every way you can put your “tool kit” to work to solve your money problems. Write a list and include all the methods you know about – e.g. you have a car and a couple of hours to spare. You can offer your car as a community door-to-door service for the elderly, or run a delivery/courier service to the business community.

* Check out the competition – who else is offering the same idea? Are they successfully earning a good income? If it’s an overstuffed market, look for something else. However, when trying to solve your money problems today, it’s a good idea to stick with ways that are successful, the tried and tested methods that are proven to work. Once your money problems are solved, you can think about putting an original idea to work.

* Do some market research – ask around if family and friends would be prepared to pay for your product or service and by how much. Maybe even test your idea by starting up as a hobby and see if it sells in the market place.

* Treat yourself. Stop worrying and be inspired by Napoleon Hill. Google “Napoleon Hill – Think and Grow Rich” and look for the website by ‘absolute1’ There you will find a free book in the public domain, and although written many years ago, many principles stand today. By allowing yourself to focus on the solution rather than the problem, you will find out how to solve your money situations and have some fun while you are at it.