Denial Management and Utilization Review News
"UnitedHealthcare is cutting 20 percent of its prior authorizations in two waves. The first cuts take effect Sept. 1 and the second phase goes into effect Nov. 1."https://t.co/Wgm3A6v2nX pic.twitter.com/lhOt4maxaZ
— Apprise MD (@Apprise_MD) August 23, 2023
AppriseMD Press Releases
March 27, 2023
Seven physicians from AppriseMD match into residency program
FOR IMMEDIATE RELEASE
For more information, contact:
Barbara Esteves-Moore
bestevesmoore@apprisemd.com or info@apprisemd.com
CHICAGO, IL – Six AppriseMD’s case preparation physicians (CPP) and one physician manager matched into residency programs across the country this month and will soon begin postgraduate training in various specialties.
“We are extremely proud of these physicians and know they will make excellent additions to these programs into which they were matched,” said AppriseMD founder and CEO Franklin Baumann, MD. “The skill they have demonstrated in working with our physician advisors to identify pertinent findings and apply clinical knowledge to medical case reviews will follow them into their specialties and enhance their ability to manage the overall care of their patients.”
AppriseMD partners with hospital and health system utilization management teams to provide denial management and physician advisor services. AppriseMD’s exceptionally skilled medical professionals review medical records and succinctly summarize complex care to assist physician advisors.
CPPs possess strong clinical backgrounds which is further enhanced through the medical case review experience they gain while working at AppriseMD alongside denial management physician advisors, who are licensed, board-certified physicians with at least five years of hospital based clinical experience combined with three years of utilization management experience.
“It’s been wonderful working with these talented and dedicated physicians,” said AppriseMD Director of Provider Services Mary C. Perez, MD. “We appreciate their time at AppriseMD and wish them all success in their future endeavors.”
AppriseMD’s matched physicians include:
- Yamarie Cabello: General Surgery Preliminary Residency at HCA Florida Kendall Hospital
- Hadrian Tran: Internal Medicine Residency at Hackensack Meridian Health Palisades Medical Center
- Fazila Zahid: Internal Medicine Residency at University of Illinois College of Medicine Peoria OSF
- Kerwin Acevedo Nazario: Family Medicine Residency at ProMedica Monroe Regional Hospital
- Hasnain Karan: Internal Medicine Residency at San Joaquin General Hospital
- Rochelle Annan: Family Medicine Residency in Atlanta, GA
- Samundra Neupane: Residency at Cape Fear Hospital, Campbell University
July 12, 2022
AppriseMD partners with UnityPoint Health to improve physician advisor services for utilization management
FOR IMMEDIATE RELEASE
For more information, contact:
Barbara Esteves-Moore
bestevesmoore@apprisemd.com or info@apprisemd.com
Chicago, IL -- AppriseMD announced a new partnership today with UnityPoint Health to provide utilization management physician advisor services to its entire hospital system of 20 regional hospitals across Iowa, Illinois and Wisconsin.
Previously, AppriseMD supported the UnityPoint Health Quad Cities hospital utilization management departments. The new partnership expands physician advisor services throughout the UnityPoint Health enterprise, bringing a new level of customer service and expertise to its utilization management teams.
“From our partnership with their Quad Cities hospitals, we have seen how forward-thinking UnityPoint Health is when it comes to improving utilization management,” Franklin E Baumann, MD, CEO and founder of AppriseMD, said in announcing the partnership. “We are excited to expand our services to provide physician advisors for utilization review to the entire UnityPoint Health enterprise and look forward to staying on the cutting edge of utilization management.”
“Partnering with AppriseMD for our utilization management needs has been a great decision” said Angela Wilson Reis, BSN, RN, director of utilization management for UnityPoint Health. “Their team is very easy to work with, they are responsive to our needs, and have formed a true partnership with us as we work through system realignment for our utilization management functions.”
UnityPoint Health is one of the nation’s most integrated health systems, providing care to both metropolitan and rural communities across Iowa, western Illinois and southern Wisconsin. Headquartered in West Des Moines, Iowa, UnityPoint Health has relationships with more than 450 physician clinics, 20 regional and 19 community network hospitals, seven community mental health centers, four accredited colleges and home care services throughout its nine regions. UnityPoint Health entities employ more than 33,000 employees who are dedicated to making it easier for people to live well.