We have an increased level of internal quality controls to ensure that reviews are accurate, understandable, actionable and customized to each client’s needs.
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.
Dr. Franklin Baumann founded AppriseMD in 2018 after serving for more than ten years as a medical director for 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 experiencewith healthcare claims issue which he now uses to help clients and lead the AppriseMD team.
Dr. Baumann practiced as a surgeon performing general, vascular, thoracic, and trauma surgery in the Chicago area. 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 completed his general surgery residency at Rush Presbyterian-St. Luke’s Medical Center in Chicago earning the Senior Surgery Resident Trauma Award at Cook County Hospital and the Junior Surgery Resident Top Teaching Award. Before completing medical school at Rush Medical College he earned a MS in medical physics from Rush Graduate College and a BS in physics from Illinois Institute of Technology.
He also served as the CMO of Emdeon (now Change Healthcare) overseeing all clinical activities of the medical fraud and abuse Special Investigations Unit.
Dr. Baumann is the CEO of AppriseMD and is the co-founder and chief medical officer of SmartLight Analytics. He lives in Illinois with this wife and four children.