Peer Review 

Rising’s physician reviewers have the proper experience, scope of licensure and qualifications needed to verify the medical necessity and appropriateness of treatment plans.  Helping workers' compensation payers reduce unnecessary care and medical costs, this effective utilization management tool can be used as part of Rising’s Utilization Review program or as a separate service.

Here’s what you get when you tap into our Peer Review capabilities:
 

•     URAC Accredited

•     Pharmacy / Drug Utilization reviews

•     National panel of credentialed, board-certified physicians 

•     Reviews conducted by physicians of the same specialty, ensuring their ability to handle the specific questions and issues related to the request

•     Evidenced-based evaluations, using national or state-specific clinical guidelines

•     Required for Utilization Review when modifying or denying treatment