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.
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:
To answer those questions, we created a team to provide:
Utilization Review that reflects real clinical experience.
A process that includes a clinical conference to discuss every single case.
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.
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.