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policy 0059 : External Review Organizations On-site Payor Reviews

A contract or Memorandum of Understanding (MOU) shall be established annually with each external review organization (“reviewing organization”) performing on-site payor reviews (“payor reviews”) at the University of Virginia Medical Center. This MOU shall set forth the duties and responsibilities of the Medical Center and the reviewing organization, consistent with the requirements of applicable law and Medical Center Policy No. 0092 "Release of Patients' Protected Health Information". The Medical Center Utilization Management (“UM”) Department shall not permit any organization that does not have a current signed MOU to perform on-site payor reviews.

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view  |  PDF document icon 0059ExternalReviewOrganizations.pdf — PDF document, 53 KB (54716 bytes)

  1. effective date:

    October 1, 2016
  2. signature(s):

    Pamela M. Sutton-Wallace, CEO, UVA Medical Center