Become a reviewer
There are many reasons to become a clinical peer reviewer:
- To ensure that our health care dollars are well-spent
- To promote fairness, accuracy, and consistency
- To foster continuous improvement in healthcare
- For the good of your own patients and community
- To monitor the quality of care
Some important facts to consider:
- The primary objective of the Clinical Consultant is to make a determination regarding the medical necessity and appropriateness of the setting for pre-certification/certification requests.
- The Clinical Consultant may be asked to serve on a specialty panel to provide medical expertise on various special projects.
- The Clinical Consultant may be asked to represent Alliant GMCF as an expert witness in legal proceedings in their area of clinical specialty.
- At Alliant GMCF, we believe that a peer review organization is the best approach for fair and honest reviews and cost containment. We know, too, that if a utilization review system is to have an impact, the behavior of physicians/providers demonstrating consistent patterns of over utilization and excessive lengths of stay must change.
In order to accomplish this, Alliant GMCF is committed to providing a qualified staff of professionals for peer review. We select peer reviewers based upon medical expertise in a specific field of practice, prior utilization/peer review experience, and professional standing within the community. Each Consultant reviews only in his or her area of specialization. In addition, we attempt to match practice setting too: so, rural clinicians review rural cases, for example.
Our range and depth are large and growing. For example, in Georgia we have over 300 consultants (physician and non-physician) in our Clinical Consultant database. These physicians are American Board of Medical Specialty certified in a combined total of over 65 supportive medical disciplines. Being a Clinical Peer Reviewer with Alliant GMCF is a way of promoting better health care for your community. It's a way of demonstrating your belief in quality performance improvement, and in helping to create a medical staff culture of accountability and excellence.