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IMEDECS is a national independent review organization known throughout the healthcare industry
for its high-quality medical reviews, extensive panel of experts, and responsiveness to client and regulatory
needs. IMEDECS' services include internal and external independent reviews, quality of care reviews,
medical coverage policy evaluations, credentialing/privileging assessments, coding reviews, fraud reviews,
disability reviews and workers’ compensation reviews. IMEDECS was also selected as the administrator for an
external billing dispute resolution board created in response to a class action settlement.
IMEDECS has the ability to meet your needs with any aspect of the review process. With our expert medical review panel of more than 800 physicians and allied practitioners, IMEDECS specialty matches every review. We conduct prospective, concurrent, and retrospective reviews at an internal (Level 1 or Level 2) or external level. The review methodology may be evidence-based, criteria-based, or opinion-based. IMEDECS conducts single and multiple panel reviews, if a consensus is needed. And we can meet your timeframe – whatever it is.
Some of the clients who benefits from IMEDECS’ services include, but are not limited to, hospitals, managed care organizations, third-party administrators, employer groups and state agencies throughout the United States. IMEDECS is certified to perform external reviews in 14 states. In addition we perform reviews nationally for cases falling under the Department of Labor regulation related to self-funded/ASO programs (ERISA cases).
IMEDECS is accredited by URAC under its Independent Review standards. It is also a founding
member of the National Association of Independent Review Organizations (NAIRO).
IMEDECS received national certification as a Women's Business Enterprise (WBE) by the Women's Business Development Center (WBDC), a regional certifying partner of the Women's Business Enterprise National Council (WBENC). A WBE is an independent business concern that is at least 51% owned and controlled by one or more women and whose management and daily operation is controlled by one or more of the women owners. WBENC is the nation's leading third-party certifier of WBEs for the private sector.