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About Us

AppriseMD provides expert medical review by licensed, board-certified physicians. AppriseMD partners with hospital Utilization Review / Utilization Management departments in order to provide MD-level support to their daily processes.
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How does AppriseMD create a better way to support hospitals’ Utilization Review process?

We have worked in utilization management in both the payer and provider world as practicing physicians and review physicians for some of the nation’s largest insurance carriers. Having seen the frustrations and challenges felt by hospitals in dealing with Utilization Review, we have asked ourselves important questions:

Why are payers denying good care?

Why are national evidence-based guidelines not being followed in patient care?

Why are we not helping doctors improve healthcare?

To answer those questions, we created a team to provide:

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Utilization Review that reflects real clinical experience.

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A process that includes a clinical conference to discuss every single case.

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Customized services tailored to your needs whether you are a small to midsize hospital with or without onsite UR or a large hospital who needs UR coverage during weekends, after hours or on holidays.

"We have an increased level of internal quality controls to ensure that reviews are accurate, understandable, actionable and customized to each client’s needs."

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Dr. Franklin E Baumann

Our Founder

Franklin E Baumann MD

Dr. Franklin Baumann has worked in the healthcare field for 30 years. He is an experienced surgeon who practiced in the Chicago area performing general, vascular, thoracic, and trauma surgery. He has worked directly with patients and review boards seeing both sides of what it means to be responsible for the care and well-being of a sick individual as well as the system delivering that care.

Dr. Baumann founded AppriseMD in 2018 after serving for more than eleven years as a medical director for UnitedHealthcare, one of the largest insurance carriers in the country. As a Care Guidelines Specialist (Utilization Management) as well as an MD expert in post-service pre-payment claim reviews, he gained invaluable experience with healthcare claims issue which he now uses to help clients and lead the AppriseMD team.

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Monika Mlynarski, MD
Manager of Provider Services

Dr. Mlynarski manages relations between hospital clients, reviewing physicians, and case preparation physicians. She monitors performance and resolves issues in her work to promote improvement in all aspects of provider operations. She oversees talent recruitment and training as well as compliance and quality. An experienced Case Preparation Physician, Dr. Mlynarski’s leadership promotes employee morale and sets the standard for operations. 

She earned her medical degree from the American University of Integrative Sciences. She holds a Bachelor of Science in Neuroscience from University of Illinois at Chicago. She grew up in Chicago, IL where she now resides.

Regina Mendoza
HIPAA Compliance Officer and HR Administrator

Ms. Mendoza coordinates and manages the administrative functions of the AppriseMD organization as well as handling new employee onboarding. In her role as HIPAA Compliance Officer, she is responsible for making sure requirements and procedures of HIPAA are followed during all AppriseMD operations. She holds an Associates in Business from Triton College.

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