Christopher Place Healthcare (CPHCR) is a Harrisburg, Pennsylvania based Independent Review Organization (IRO) that focuses on independent medical reviews for all types of benefit disputes and quality of care issues in an unbiased and timely manner.
Founded in 2016 as a Veteran of Small Business Organization by Brent O’Connell MD, MSHA and Kyle Stavinski MS ,FP-C, CPHCR recognized the need for unbiased Independent External Review services under the Federal Affordable Care Act.
Since the beginning, CPHCR has assembled an incredible team of Board-certified Physicians, Certified Coders, Bill Review Specialists and Ancillary Healthcare Providers with extensive experience in the healthcare market as we serve a diverse geographic coverage area on a nationwide scale.
While the coronavirus pandemic has substantially altered the delivery of healthcare for providers and their patients. CPHCR has embraced the various tele health opportunities to ensure our clients can continue delivering appropriate unbiased care to their members in a timely manner.
Our clients include various ERISA Regulated Benefit Plans, Federally Regulated Agencies, Individual Insurance Companies, Medicaid, Medicare, Self-funded Health Plans, and State Insurance Departments.
Christopher Place Healthcare Review has obtained Full Accreditation as an Independent Review Organization for Internal & External Reviews.
The accreditation process developed by URAC is designed to assure that Independent Review Organizations (IRO) are free from conflicts of interest, establish qualifications for physician performing independent medical peer review, address medical necessity and experimental treatment issues, have reasonable time periods for standard and expedited peer reviews, and appeals processes.
As an IRO with URAC accreditation, CPHCR strives for a fair and impartial medical peer review process that benefits both patients and physicians.
Health plans and consumers can be confident that their appeals receive a comprehensive review and objective decision.
“By receiving URAC accreditation, Christopher Place Healthcare Review has demonstrated a commitment to quality health care,” said URAC President and CEO. “Quality health care is crucial to our nation’s welfare, and it is important to have organizations that are willing to measure themselves against national standards and undergo rigorous evaluation by an independent accrediting body.”
Christopher Place Healthcare Review maintains Accreditations/Certification with individual State Insurance Departments across the United States to conduct utilization review (UR) under the NAIC Model Act to regulate and provide information about health coverage in its specific state.
CPHCR proactively adopts applicable state laws/regulations and recognize/resolve concerns to align with state requirements.
If you don’t see your state listed, please call us at 877-305-0944 to see how we can assist with your needs.
NAIRO is a member-driven, non-profit association. While URAC has developed evidence-based measures and accreditation programs for independent medical review since 1990, their charter as a standards body precludes ties to any industry-interest group.
The primary objectives of NAIRO membership are too:
Since its formation, NAIRO has assisted policy makers at both the federal and state level with position papers and analysis of issues.
NAIRO has also helped its member organizations demonstrate the value of URAC accreditation and their processes for independent medical review.
Christopher Place Healthcare Review has collaborated with Hammer Dev, a Weidenhammer Business Unit, to develop a case management system to standardize the review process and streamline the efficiency of sending referrals and managing referrals made to CPHCR. All case management software is HIPAA Compliant.