Ipro Medical Review

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Independent Review of Appeals - IPRO

https://ipro.org/independent-review-of-appeals

IPRO has performed tens of thousands of reviews for medical necessity and appropriateness and has extensive experience handling appeals of denial of care and …

Annual Medical Services Review Report - IPRO

https://ipro.org/about/publications/annual-medical-services-review-report

IPRO Quality Awards; What We Do. Our Range of Expertise. Partnering with Providers to Improve Care; Promoting Value-Driven Healthcare; Case Studies and Program Profiles; …

Boards & Committees – IPRO ESRD Network

https://esrd.ipro.org/about-our-networks/boards-committees/

The Medical Review Board (MRB) serves as an expert panel that analyzes and advises the IPRO Board of Directors on quality improvement …

California Department of Managed Health Care – Independent …

https://ipro.org/expertise/ca-dept-managed-hc-imr-services

IPRO has been contracted by the California Department of Managed Health Care (DMHC) to conduct Independent Medical Review (IMR) services in accordance with the Knox …

Medicaid External Quality Review - IPRO

https://ipro.org/medicaid-managed-care-oversight

Our service as an External Quality Review Organization (EQRO) started in 1989 in New York State, which has the second largest Medicaid managed care population in the …

IPRO – Better healthcare, realized.

https://ipro.org/

With the continued threat of COVID-19 variants and other emerging infectious-disease risks, IPRO and the Home Care Association of New York State (HCA) are working together …

External Appeal Agents | Department of Financial Services

https://www.dfs.ny.gov/complaints/external_appeal_agents

IPRO has an extensive network of clinical peer reviewers, including board certified physicians and other health care professionals, with the expertise to provide a full range …

IPRO CHHA Review Letter

https://ipro.org/medicaid/ipro_chha_review_letter

IPRO CHHA Review Letter. IPRO, as a new review component of the Medicaid UR/QI contract, has been instructed by the New York State Department of Health (NYSDOH) to …

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