Summary
The required services include independent physician peer review, Initial Professional Practice Evaluations (IPPE), Ongoing Professional Practice Evaluations (OPPE), and professional practice reviews for inpatient and outpatient medical records. The contractor shall provide board-certified physician reviewers who are independent, free from conflicts of interest, and qualified in the applicable specialty under review. Reviews may be required in multiple clinical disciplines, including but not limited to Emergency Medicine, Pediatrics, Internal Medicine, Rheumatology, Family Medicine, General Surgery, Obstetrics and Gynecology, Orthopedics, Podiatry and Wound Care, Optometry, Neurology, Pathology, Radiology, Rehabilitation Services, and Psychiatry.