Georgia Department of Community Health


Please Note

We are a service company that can help you file with the Georgia Department of Community Health. We are not associated with this nor any other government agency. We offer paid services and software to help you file. You are not required to purchase our service to file - you may file directly with this agency without using our service.


Contact Information

Physical address:
2 Peachtree Street, NW
Atlanta, GA 30303

Phone: 404-656-4507

Web: Home

Licenses

We track the following licenses with the Georgia Department of Community Health in order to provide compliance services to our clients. As a client, you see this and other reference data in License Manager in-line with your licenses.

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Georgia Independent Review Organization Certification

Type of Review:

Medical Utilization Review

Agency:Georgia Department of Community Health
Law:

O.C.G.A. § 33-20A-39

Foreign Qualification is Prerequisite:Yes
Fact Checked:2/5/21

Initial Registration

Form:

Application for Certification as an IRO

Agency Fee:

$500

Required Attachments:
  • A copy of the organization's independent review plan
  • A written quality assurance mechanism in place that ensures the timeliness and quality of the reviews, the qualifications and independence of the expert reviewers, and the confidentiality of medical records and review materials.
  • Copies of policies and any procedures ensuring compliance with all applicable state and
    federal laws and with the Rules to protect confidentiality of medical records and personal information.
  • A listing of the number, type, and minimum qualifications of the personnel either employed or under contract to perform the independent review.
  • A copy of written procedures used to determine whether physicians or other health care providers utilized by the independent review organization describe the personnel and the accrediting policies and procedures of the applicant.
  • A completed profile for each expert reviewer and provider as outlined in the Rules.
  • Biographical information about officers, directors and staff as detailed on the application.
  • A copy of the most recent by-laws and articles of incorporation for the legal applicant.
  • Evidence of the applicant's authorization to conduct business in that state of Georgia.
  • A description of the existing or proposed organization and provide a copy of the organizational chart.
  • A chart showing contractual arrangements of the independent review system.
  • The names of each stockholder or owner of more than five percent of any stock or options.
  • The name and type of business of each corporation or other organization that the applicant controls or is affiliated with and the nature and extent of the affiliation or control. Also provide a chart or list clearly identifying the relationship between the applicant and any affiliates.
  • A list of any currently outstanding loans or contracts to provide services between the applicant and any affiliates or any officer of its affiliates.
  • The names of any predecessor affiliates and /or companies, including trade names.
Fact Checked:2/5/21

Registration Renewal

Form:

Renewal of Certificate of Registration for IRO

Agency Fee:

$250

Due:

Annually at least 90 days prior to the anniversary of registration.

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