Use our calculator to determine the estimated retained revenue your organization can achieve by partnering with PreAdmit.
Our remote-based utilization review nurses apply industry-standard medical necessity guidelines prior to admission, helping your organization avoid non-reimbursed hospital stays and set the appropriate level of care.
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PreAdmit® UR Review
Level of Care Determination
Hospital Notified of Recommendation
In an era of rising healthcare costs, insurers are constantly looking to deny payment for unnecessary or non-qualified inpatient hospital stays. Most hospitals provide in-house case management review, but are limited by available UR resources, especially during nights, weekends, and holidays.
How do you ensure every hospital admission meets medical necessity? How do you staff for Utilization Review after hours and on weekends?
Our Tele-Utilization Review before admission reduces inpatient admissions that do not meet medical necessity and avoids post-admission payer denials.
Key Benefits of partnering with PreAdmit
We offer a per-case rate to provide flexibility in the use of our services.