Become a Peer Reviewer

There Are Many Reasons to Become a Clinical Peer Reviewer:

• To ensure that our health care dollars are well-spent
• To promote fairness, accuracy, and consistency
• To foster continuous improvement in health care
• For the good of your own patients and community
• To monitor the quality of care

Some Important Facts to Consider:

• The primary objective of the Clinician Consultant is to make a determination regarding the medical necessity and appropriateness of the setting for precertification/certification requests.
• The Clinician Consultant may be asked to serve on a specialty panel to provide medical expertise on various special projects.
• The Clinician Consultant may be asked to represent Alliant | GMCF as an expert witness in legal proceedings in their area of clinical specialty.

At Alliant | GMCF, we believe that a peer review organization is the best approach for fair and honest reviews and cost containment. We know, too, that if a utilization review system is To have an impact, the behavior of physicians/providers demonstrating consistent patterns of high utilization and excessive lengths of stay must change.

In order to accomplish this, Alliant | GMCF is committed to providing a qualified staff of professionals for peer review. We select peer reviewers based upon medical expertise in a specific field of practice, prior utilization/peer review experience, and professional standing within the community. Each Consultant reviews only in his or her area of specialization. In addition, we attempt to match practice setting too: so, rural clinicians review rural cases, for example.

Our range and depth are large and growing. For example, in Georgia we have over 300 consultants (physician and non-physician) in our Clinician Consultant database. These physicians are American Board of Medical Specialty certified in a combined total of over 60 supportive medical disciplines. Medicare reviewer physicains need to actively engaged in 20 hours or more of clinical practice per week. Being a Clinical Peer Reviewer with Alliant | GMCF is a way of promoting better health care for your community. It's a way of demonstrating your belief in quality performance improvement, and in helping to create a medical staff culture of accountability and excellence.

We hope you will consider joining us.

For more information on how you can become an Alliant | GMCF Clinician Consultant, please send an information request and details of your specialty and professional experience to peerreviewer@gmcf.org .