Pre-Admission Utilization Review with Licensed RN Case Managers
InterQual® or Milliman Care Guideline®(MCG®) admission standards
Remote UR 24/7 or during after-hours and weekends
Level of care determination for your patient
Provide Case Management in your Emergency Department
Quick Decision Turnaround

Revenue Improvement

  • Affordable medical necessity determinations
  • High return on investment
  • Avoid cost of non-reimbursed hospital stays
  • Offload onsite Case Managers to focus on care coordination
  • Increase net revenue through appropriate bed utilization
  • Save on costly appeals process
  • Prevent medical necessity denials rather than appealing them