logo-icon-opaque

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.
Doctor in professional uniform examining patient at hospital or medical clinic. Health care , medical and doctor staff service concept.

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:

doctor-1228627_1280

Utilization Review that reflects real clinical experience.

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.

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

Portrait of mature female doctor sitting in meeting room with specialist and nurses discussing case in background. Successful woman doctor looking at camera with medical staff brainstorming.

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."

FB-Headshot-1024x683
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.

Scroll to Top