Peer Reviewer Panel

specialty-matched peer review panel

NMR maintains a geographically diverse Peer Reviewer Panel (PRP) strategically located throughout the United States and US Territories. NMR performs in-house credentialing in compliance with URAC standards, which includes primary source verification of licensure and board certifications. The PRP is comprised of over 500 individual providers, representing over 700 board certifications, specialties and state licenses. NMR’s Reviewer Credentialing Department maintains an active recruitment process, which allows for an ever-expanding panel and for the prompt response to client needs.

Our physician reviewers represent all specialties and sub-specialties and are board certified by either:
• American Board of Medical Specialties (ABMS) or
• American Osteopathic Association Bureau of Osteopathic Specialists (AOABOS).

Our non-physician reviewers include:
• Chiropractic
• Dentistry
• Podiatry
• Ancillary Healthcare Providers, such as physical therapists, speech therapists, psychologists, etc.

OIG Exclusions Program – The credentialing department conducts monthly searches of the OIG Exclusion Program for all contracted Peer Reviewers. If a Reviewer appears on this list, the information is reviewed by the Quality Management Committee and appropriate action is taken. There is ongoing tracking and updating of expiration of licenses and board certifications.

NMR will not accept any Reviewer who is:
1. Currently sanctioned by any state or federal program. Reviewers must be currently eligible to receive payment under Medicare, Medicaid, and any Federal Employment Benefit Plan(s).
2. Convicted of a felony or a crime involving sexual misconduct or child abuse
3. Denied or lost hospital staff/admitting privileges

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