Pathway Home: Independent Review: Clinical Review Network

Comprehensive Clinical Review Network

Experienced Reviewers

Pathway’s experienced team conducts reviews using qualified clinical physician and nurse experts. Pathway ensures integrity and promotes the highest standards of quality and excellence within its review activities by incorporating quality improvement principles into the review process. We internally audit all review decisions to ensure timeliness, accuracy, consistency, and reliability of Pathway’s review activities.

Pathway has over 250 expert physician/clinician reviewers represent all medical specialties and geographic areas of practice in the state. Our network also includes ancillary clinical experts such as dentists, podiatrists, pharmacists, etc. A number of our expert physician reviewers are also certified by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP).

Pathway’s nursing review staff has an average of 10 years of review experience; medical coders have an average of six years; and review managers have an average of 15 years of review experience.

No Conflicts of Interest

Pathway follows strict guidelines to identify organizational as well as personal conflicts of interest for each and every case.

Independent Review

Additional Links

External Links

Comprehensive Clinical Review Network

Experienced Reviewers

No Conflicts of Interest

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Independent Review Clinical Review Network Contact Us Join Our Team Review Services Independent Review Home Pathway Home Additional Links Cultural Competency Training/Consulting Remediation External Links MPRO: Quality Improvement BEAM: Culture Change Services	Pathway Home: Independent Review: Clinical Review Network Comprehensive Clinical Review Network Experienced Reviewers Pathway’s experienced team conducts reviews using qualified clinical physician and nurse experts. Pathway ensures integrity and promotes the highest standards of quality and excellence within its review activities by incorporating quality improvement principles into the review process. We internally audit all review decisions to ensure timeliness, accuracy, consistency, and reliability of Pathway’s review activities. Pathway has over 250 expert physician/clinician reviewers represent all medical specialties and geographic areas of practice in the state. Our network also includes ancillary clinical experts such as dentists, podiatrists, pharmacists, etc. A number of our expert physician reviewers are also certified by the American Board of Quality Assurance and Utilization Review Physicians (ABQAURP). Pathway’s nursing review staff has an average of 10 years of review experience; medical coders have an average of six years; and review managers have an average of 15 years of review experience. No Conflicts of Interest Pathway follows strict guidelines to identify organizational as well as personal conflicts of interest for each and every case.