VALUE

Take advantage of our experience in healthcare operations. We quickly identify issues and implement solutions for optimal provider, staff and patient outcomes.

INNOVATIVE

Tell us your obstacles. We find and implement custom solutions. Combining technology driven processes with clinical guidelines, data analysis and support.

DYNAMIC

Now is a good time to adjust your operations as you grow. Our dynamic business model maximzes your success.

MANAGING YOUR PRIOR AUTHS
UNCOVERING YOUR HIDDEN REVENUE

We eliminate the burden of prior authorization requests, allowing your practice to focus on quality patient care.

Our clinical, operations and analytics team has over 10 years of experience working with both payers and clinical practices.

It’s a smart relationship. We uncover and implement revenue generating processes for your practice while lowering denial rates and reducing front end cost.

Learn more

OUR SERVICES

CHRONIC CARE MANAGEMENT PLATFORM (CCM & PCM)

OUR HIPPA COMPLIANT CARE MANAGEMENT PLATFORM (CCM & PCM) ALLOWS PROVIDERS TO LOAD PATIENTS, TRACK CARE PLAN PROGRESS AND EASILY SHARE CARE PLANS WITH OTHER PROVIDERS.

MEDICAL BILLING SERVICES (RCM)

OUR CLINICAL TEAM ENSURES ACCURATE CLAIM SUBMISSIONS, VERIFYING PROPER CPT AND ICD CODES. WE HANDLE REMITTANCE PROCESSING, UTILIZATION AND PRIOR AUTHORIZATION REVIEWS, DENIAL MANAGEMENT, AND PATIENT COLLECTIONS EFFICIENTLY.

SUBMIT AND MANAGE PRIOR AUTHORIZATIONS

OUR CLINICAL TEAM WILL SUBMIT AND SPEAK WITH ALL PAYERS ON YOUR BEHALF, HANDLING CLINICAL QUESTIONS AND REQUESTS FOR ADDITIONAL INFORMATION.

CHRONIC CARE MANAGEMENT (CCM) SERVICES

WE HELP SET UP AND OR MANAGE YOUR CHRONIC CARE MANAGEMENT AND PRINCIPAL CARE MANAGEMENT PROGRAMS. EASILY MANAGE MONTHLY CARE PLANS WHILE BEING CMS AUDIT READY.

WORKFLOW OPTIMIZATION AND AUTOMATION

WE STRATEGIZE WITH OUR CLIENTS TO INCREASE EFFICIENCIES IN ADMINISTRATIVE AND CLINICAL PROCESSES TO OPTIMIZE WORKFLOW, REDUCE COST, AVOIDING ERRORS, AND REDUCING TIME SPENT ON DAILY TASKS.

DYNAMIC PARTNER MODEL

WE CUSTOMIZE OUR SERVICES TO MEET THE UNIQUE AND DYNAMIC NEEDS OF EACH CLIENT, IMPLEMENTING PROCESSES THAT SUPPORT QUALITY-DRIVEN GROWTH OF YOUR PRACTICE.

MEET OUR TEAM

Image
Emilie Peron

Director Of Communications

Image
Dr. Gregory Bigford

Director of Data Analytics

CONTACT US

Free Consultation

Receive a complimentary assessment

305-980-7160 consult@healthcareutilization.com

Copyright © 2024 HealthCare Utilization Consultants LLC. All rights reserved

Privacy Policy