We focus on one thing:

Hospital Utilization Review


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

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

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

Peer-to-Peer Reviews
and ROI tracking

MD Contemplated Support

Access to our Proprietary
Payer Database

Internal Audits of
100% of cases

UR Education and Training
for Treatment Teams

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 

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

Peer-to-Peer Reviews
and ROI tracking

MD Contemplated Support

Access to our Proprietary
Payer Database

Internal Audits of
100% of cases

UR Education and Training
for Treatment Teams

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

DO YOU HAVE ISSUES WITH YOUR UTILIZATION REVIEWS?

AppriseMD Knows the Problems and Corrects Them.

"THE REVIEWS DON'T MAKE SENSE!"

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

"THE REVIEWS ARE NOT HELPFUL."

AppriseMD reports are actionable and our staff answers questions directly.

"WE NEVER GOT OUR REVIEWS!"

AppriseMD guarantees our turnaround time 24 hours a day.

"THE REVIEWS ARE INCONSISTENT!"

AppriseMD uses a consistent format for all our reports.

"THE REVIEWS ARE AUTOMATED!"

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

With at least five years of clinical experience including inpatient care.
Confident representative pharmaceutical showing new medicines to a team of doctor and nurse in hospital. Mature specialist man showing bottle of pills and explaining drug dosage to a group of doctors.

Extensive managed care experience including payer and hospital UM.

Clinical conference to discuss every case.

photo-1596355246323-3d25d57b294c

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.

bigstock-Doctor-Using-Laptop-At-Workpla-357741203

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

Treating physicians given access to case review 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:

Peer to Peer Reviews
Utilization Review Services

You might be interested in...

Eliminating the CMS inpatient only list will continue to complicate hospital stays

The Centers for Medicare & Medicaid Services (CMS) has begun to dismantle its inpatient only list, which has directed the ...
Read More

Documentation – A Key for Reduced Denials

There is one relatively easy way hospitals can reduce claims denials: better clinical documentation. Insurance companies require documentation, and it ...
Read More

A quiet shift that could shake up hospital Utilization Review

There is a seismic shift happening in Utilization Review: As of Saturday, May 1, 2021, UnitedHealthcare, the country’s largest healthcare ...
Read More
Recouping revenue lost to COVID

Utilization Review Managment can help hospitals with COVID revenue loss

COVID-19 continues to have detrimental effects not only on health of people, but also on the economy and businesses in ...
Read More

Outpatient Arthroplasty Surgery: A Position Paper from AppriseMD

The American Association of Hip and Knee Surgeons have stated that hip and knee replacements can be safely performed in ...
Read More

CASE STUDY: Can Peer-to-Peer Reviews Overturn Short Hospital Stay Inpatient Denials?

Inpatient admissions less than two days in length which have been denied by a commercial carrier are appropriate for Peer-to-Peer ...
Read More
Scroll to Top