SOURCE: American Health Holding

American Health Holding

December 16, 2010 10:14 ET

American Health, Leader in Medical Management Solutions, Launches External Review Product

WORTHINGTON, OH--(Marketwire - December 16, 2010) - American Health Holding, Inc., a multi-URAC accredited medical management service provider, today announced the launch of Independent External Review, a product designed to provide objective, clinically driven determination on medical necessity for appeals required by new health care legislation that went into effect in September.

The Patient Protection and Affordable Care Act (PPACA) set new requirements for external reviews and appeals, stating that non-grandfathered health care plans must satisfy new external review processes, including claimant requests for expedited appeals, and comply with requirements for impartiality in assigning external reviewers. Plans are required to contract with at least three Independent Review Organizations (IRO) and rotate claim assignments among them or incorporate other IROs for random selection. The new legislation affects plan years beginning on or after September 23, 2010.

"Our success as a medical management and cost containment company is dependent on a constant stream of new products and product enhancements," said Paul Lavin, American Health's President. "Our new Independent External Review offering is a logical extension of our existing medical management capabilities and helps clients ensure compliance with the new health care reform provisions."

Independent External Review will assist customers in meeting their needs for assigning external appeals to three IROs. American Health will be the customers' source of three URAC-accredited IRO contracts and will manage the assignment and tracking process for external appeals.

American Health hosted an educational webinar on the new health care regulations, which can be viewed at www.AmericanHealthHolding.com/reform/.

About American Health Holding, Inc.
American Health Holding is a single-source provider of medical management services that supports millions of members across the health care continuum. The multi-URAC accredited organization has been helping clients to maximize cost savings while ensuring the quality and appropriateness of care since 1993. American Health provides a level of flexibility that supports integrated solutions for creating healthy outcomes. For more information about American Health visit the Web site: www.AmericanHealthHolding.com.

Contact Information

  • Contact:
    Anne Klie
    Director of Marketing
    American Health Holding, Inc.
    (614) 818-3222 Ext. 1492
    aklie@ahhinc.com