Physician Advisor Services
for hospital utilization review
Secondary Reviews, Short Stay Reviews & Payer Peer-to-Peer Reviews customized to your hospital size and need.
Full-Time Utilization Review Physician Advisor Services • Gap Coverage • Weekends, Nights & Holidays
Our physician advisors increase denial overturn rates, shorten revenue cycles and empower you to provide the most appropriate and effective clinical care.
AppriseMD adds value with
Peer-to-Peer Reviews
and ROI Tracking
Physician Advisor
Support
Access to Proprietary
Payer Database
Internal Audits of
100% of Cases
UR Education and Training
for Treatment Teams
Research, White Papers and
Case Studies
" 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
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.
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
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:
Utilization Review Examples
Retrospective Utilization Review
Types of Utilization Review
Utilization Review Process Flowchart
Some other important pages:
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Without proper documentation, inpatient denials are often upheld
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