We focus on one thing:

Hospital Utilization Review

MD-Level Reviews and Peer-to-Peer Review services customized to your hospital size and need.

Full-Time Utilization Review Management • Gap Coverage • Weekends, Nights & Holidays

Speak With AppriseMD Today

Bringing collaboration, consistency and ease to Utilization Review
AppriseMD adds value with:

Peer-to-Peer Reviews
and ROI Tracking

MD Contemplated
Support

Access to Proprietary
Payer Database

Internal Audits of
100% of Cases

UR Education and Training
for Treatment Teams

White Papers and
Case Studies

UTILIZATION REVIEW SERVICES

PEER-TO-PEER REVIEWS

FREQUENTLY ASKED QUESTIONS

" Having been involved in hospital Utilization Review for over 10 years on the commercial insurance side and having worked as a surgeon, I understand the frustrations and challenges felt by hospitals in dealing with Utilization Review. I knew that there was a better way to support hospitals and created AppriseMD to meet hospital needs. "
FRANKLIN E BAUMANN MD
CEO & FOUNDER OF APPRISEMD

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APPRISEMD CASE STUDY: Chest pain, non-cardiac inpatient stay denial overturned

Chest pain is one of the most common ER diagnoses. For those patients who require hospital admission, getting the admission status correct and paid by the insurance company can be tricky.

Chest pain cases that are found to be due to causes other than frank acute coronary syndrome can often be difficult for inpatient level of care approval. We believe that these cases often involve significant hospital resources as well as significant treating physician concern. Clear and honest discussions about the admitting clinicians’ concerns, plan of care, and resources used can help get to the most appropriate level of care.

› Read the full case study including clinical summary, denied inpatient stay and Peer-to-Peer discussion specifics.

DO YOU HAVE ISSUES WITH YOUR UTILIZATION REVIEWS?

AppriseMD knows the problems and corrects them.

ISSUE: "THE REVIEWS DON'T MAKE SENSE!"

Solution: AppriseMD creates customized reports with clear explanations for every case review.

ISSUE: "THE REVIEWS ARE NOT HELPFUL."

Solution: AppriseMD reports are actionable and our staff answers questions directly.

ISSUE: "WE NEVER GOT OUR REVIEWS!"

Solution: AppriseMD guarantees our turnaround time 24 hours a day.

ISSUE: "THE REVIEWS ARE INCONSISTENT!"

Solution: AppriseMD uses a consistent format for all our reports.

ISSUE: "THE REVIEWS ARE AUTOMATED!"

Solution: AppriseMD never automates any case review.

Our Expert Reviews Are Centered On:

Good Care

National Evidence-Based Guidelines

Timely Recommendations 24-7,
365 Days a Year

Actionable Reports

All AppriseMD Reviews are conducted by
licensed and board certified physicians

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Extensive managed care experience including payer and hospital UM.

Clinical conference to discuss every case.

Every review is touched by at least two physicians.

No case review is automated or handled by a non-clinical expert.

Peer-to-Peer reviews handled for treating physicians.

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We review cases in a way that reflects our clinical experience.

Treating physicians given access to case review physicians.

More Details

Hospital Utilization | AppriseMD

Expert Medical Utilization Review

AppriseMD understands the frustrations and challenges felt by hospitals in dealing with Hospital Utilization Review.

We offer clinical expertise combined with insurance experience to support hospitals in a highly personalized process. We value transparency and honesty.

AppriseMD 707 Skokie Blvd #600, Northbrook, IL 60062, USA

Phone: (847) 849-1970
Email: info@AppriseMD.com

You may have found us by searching other common Hospital Utilization Categories:

Hospital Utilization Review

Bringing collaboration, consistency and ease to Utilization Review
AppriseMD adds value with:

APPRISEMD CASE STUDY: Chest pain, non-cardiac inpatient stay denial overturned

Chest pain is one of the most common ER diagnoses. For those patients who require hospital admission, getting the admission status correct and paid by the insurance company can be tricky.