Independent external reviews help to ensure purchasers of healthcare and patients that medical decisions are based on the latest clinical evidence. Independent reviews may help to reduce litigation exposure and to bring together the contemporary practice of medicine with current medical and scientific evidence.

PMSCO provides external independent reviews within the following timeframes (when not regulated by state or Federal regulations):

Urgent Reviews — Within 24 hours
Expedited Reviews — Within 72 hours
Standard Reviews — Within 10-20 business days

PMSCO is an excellent resource to help you meet your organization's independent medical review standards. Not only do we consistently meet the turn-around times identified above, here are some other reasons why you should partner with PMSCO:

• Eliminate your administrative burden of finding a qualified physician/healthcare practitioner to perform the review. Our strong network of independent reviewers are unbiased, board certified, clinically practicing, and HIPAA-compliant.

• Ensure adherence to state rules and regulations. You can be assured that the services we provide are free from conflicts of interest and meet quality and service requirements.

Quality of Care Review

• Case reviews are based on the quality of care provided in various healthcare settings
• Reviewers utilize clinical practice guidelines and industry standards for care develop by national and professional medical associations

Other Types of Reviews