What is a Peer Review?

A Peer Review is the comprehensive review of documents by a qualified specialist. The specialist analyzes the treatment records and test findings and responds to specific questions asked by the referral source.

When should you use a Peer Review?

  • To evaluate the accuracy of a psychiatric or medical diagnosis, the appropriateness of treatment or diagnostic testing.
  • To clarify the issues in complex psychiatric or medical claims.
  • To address differences of opinion rendered by treatment providers and other specialists involved in the claim.
  • To help formulate next steps in the review process of a claim.

Why use PDC to arrange a Peer Review?

  • PDC confirms referrals within 24 hours.
  • PDC's clinical staff carefully credentials the Peer Review expert by reviewing their curriculum vitae, board certifications, areas of specialization, licenses, malpractice coverage, administrative requirements and fees, and a work product sample and makes recommendations specific to each case.
  • Our Peer Review experts can review a wide range of issues from psychiatric cases involving addiction and psychopharmacology or cognitive dysfunction to medical cases involving possible chronic fatigue syndrome, cardiac conditions or chemical toxicity.
  • Once a Peer Review expert is selected, a PDC staff member communicates with the expert to rule out any conflicts of interest.
  • PDC's clinical staff can help formulate case specific Peer Review questions and if requested, review and critique the final Peer Review report.
  • Peer Review experts are expected to complete their review within 7 business days.
  • The cost associated with arranging a PDC Peer Review is competitively priced. Fees are billed on a flat rate for research, establishing credentials and scheduling.
  • To ensure the independent nature of the Peer Review, the Peer Review expert submits the final report and invoice for services directly to the referral source.

How do I refer a case for a Peer Review?

Complete the Medical Peer Review Referral Form or Psychiatric Peer Review Referral Form and fax it to PDC or Contact Us for further assistance.

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