Augment your team on weekends, nights and holidays or outsource all your physician advisory services.
No automation. No software installation.
Human-powered clinical and payer expertise that get results.
What sets us apart, elevates your team
Optimizing Reimbursement
with a core focus on physician advisor UM services by US-based, board-certified physicians
Reinforcing Revenue Integrity
through customized reporting metrics that identify potentially missed revenue
Improving Patient Outcomes
with physician advisors who possess multiple years of experience in both clinical practice & UM
Ready to see all the metrics we capture?
Learn how our physician advisory services can improve your revenue.
Achieve excellence in utilization review by increasing your revenue and shortening your revenue cycle with accurate medical necessity determinations even at your busiest times.
Mitigate risk and optimize revenue even when your team is short-staffed or your patient load is high. We provide physician advisory support when the need arises so you can focus on patient care every day.
Our overflow coverage can supplement your internal physician advisory teams whenever it is needed.
Exploring the Balance Between Cost and Care
UM balances the delivery of the right care at the right time in the right setting. Providing the right, or medically necessary care, depends upon providing patients with treatment needed to achieve the best possible medical outcome without over- or under-utilizing services. The complexity of the cost structure in the U.S. healthcare system adds another hurdle. Even though medical necessity is the foundation upon which UM rests, it does not exist in a vacuum. It is intricately linked to cost. Achieving a utilization management balance can improve a hospital’s quality of care while at the same time reducing costs.
A problem/solution white paper by
