Reviews for Complex Conditions
We provide independent medical reviews for the following complex medical conditions:
- Transplant
- Cancer
- Congenital heart disease
- Kidney dialysis
- Bariatric surgery
- Pregnancy/neonatal surgery
- Other conditions upon request
Patient Focus
Our specialized physician reviews help your organization make the right decisions regarding treatment for complex medical conditions. Reviews include:
- Summaries of patients’ clinical status
- Disease treatment statements
- Reviewers’ expert opinions regarding the appropriateness of proposed procedures or treatments, specific to each patient’s current clinical condition
- Summary of relevant medical literature
- References to alternative therapies, when appropriate
- Comparisons to community standards
Results
One in four transplant cases reviewed by Specialized Physician Review are deemed inappropriate. At a cost of more than $217,000
1 per transplant, this can translate to as much as $52,000 of savings per review.
