Dispute Resolution
As of November 2022, iMPROve Health is a certified informal dispute resolution (IDR) entity. In addition, we provide Informal Dispute Resolution (IDR) and Independent Informal Dispute Resolution (IIDR) services to state agencies for providers who choose to dispute federal and/or state citations, known as “deficiencies,” following standard and complaint-based surveys. We conduct these reviews for Skilled Nursing facilities, Intermediate Care Facilities for Individuals with Intellectual Disabilities ICF/IID), Assisted Living Facilities (ALF), Hospice, Home Health Agencies, and other state-licensed providers. These services often serve as alternatives to legal proceedings. Learn more about our capabilities with IDR and IIDR services.
Informal Dispute Resolution and Independent Informal Dispute Resolution
iMPROve Health’s IDR/IIDR programs offer timely, objective, and independent reviews that apply standardized processes. Using a decision-making algorithm, our reviewers carefully assess the cited deficiencies, the materials provided by the facility to refute the citations, and relevant regulations and current clinical practice standards. iMPROve Health is a respected third-party review option for state agencies and providers nationally. We are fully accredited by URAC.
We ensure that no IDR/IIDR review decisions are influenced by any individual(s) involved in issuing the deficiency statement or who provide services to the nursing facility in question.
Our IDR reviewers are registered nurses, previous surveyors, and/or other health or life-safety code professionals, possessing broad knowledge of federal and state regulations and current clinical practice standards. Our reviewers have experience as surveyors and/or administrative healthcare providers. iMPROve Health provides reviews for several states.
Texas IDR
iMPROve Health contracts with the Texas Health and Human Services Commission to provide IDR services for Skilled Nursing Facilities, Intermediate Care facilities for Individuals with Intellectual Disabilities, and Assisted Living Facilities. We conduct IDR services as an opportunity for facilities to dispute citations resulting from the survey process.
Use the iMPROve Health IDR Portal to submit an IDR/IIDR case. Follow the step-by-step instructions below for the portal, as well as the Frequently Asked Questions and other resources.
