Peer/Pro Review
Premier Prizm Solutions understands the importance of high quality Peer Reviews and assures delivery within the most cost-effective manner. Our expert panel of Credentialed Board-Certified Physicians, of like specialty performs retrospective review of medical services rendered for medical necessity or causality concerns. Physicians are required to have an active practice with the majority of their income derived from the services provided to their patients and specialty.
Our Peer Review services include:
- Determination of rationality and necessity of care
- Determination of appropriateness of setting where care is rendered and delivery of care
- Analysis of report to ensure it provides clear, concise and credible medical opinions
- Follow-up with physicians for addendum or clarifications, if applicable
- Reports conform to all state mandated timelines
