Healthcare Utilization Consultants LLC Call 786-435-0634

Built for physician practices

We find the real problem. Then we build the fix.

Healthcare Utilization Consultants solves the operational problems that cost practices, MSOs and health systems time, money and patients. We trace each one to its root cause and deliver a working solution: workflow, data, software or AI.

20 years on every
side of healthcare

Our team brings 20 years of experience in development, operations, quality management and utilization review, on both the payer and the provider side. We know how each side works, where the money moves and where the friction is, so what we build fits how healthcare actually runs.

  • Development
  • Operations
  • Quality management
  • Utilization review
  • Payer side
  • Provider side

We also take on the payer work that slows practices down.

Prior authorization submissions

We prepare and submit prior authorizations to each payer's requirements, so your staff is not stuck chasing them.

Denials and appeals

When a patient's service or claim is denied, we review the case, the clinicals and the payer's own policies, then prepare the appeal.

That puts us in the right position to help your practice from the ground up, from day one.

  • Cost savings
  • Maintenance
  • Support
  • Enhancements
  • Changes as you need them
  • Quick turnaround times

Managed IT and security

Your whole IT department, for less than one full-time hire.

We can run all of your technology, from implementations and databases to security, firewalls and support, or work alongside the IT team you already have. Start with one project or hand us everything. You set the pace.

Option 1

Make us your IT department

One team for implementations, database management, security, firewalls, support and new builds.

Option 2

Keep your IT team, add ours

We take on the builds, automation and data work, and give your team room to focus.

Where the savings come from

Less than one full-time hire

Complete IT coverage for less than the cost of one full-time IT employee.

One vendor instead of many

No separate contracts for security, development, database support and maintenance.

Built and kept running by one team

The team that builds your systems maintains them, so nothing falls between vendors.

Savings that fund growth

Money saved on overhead goes back into patient care and growth.

Ask us what you could save

Actual cost depends on your systems, your size and the scope we agree in writing.

Built for everyone in your practice.

Physicians and owners

Less paperwork, healthier margins and more time with patients.

Nurses and NPs

Workflows that support care instead of adding clicks.

Practice managers

Fewer manual steps, faster turnaround and clear numbers.

Front desk and billing

Intake, faxes, referrals and authorizations with less manual chasing.

Groups, MSOs and health systems

The same playbook, built to scale across sites.

How we work

  1. Diagnose.

    Map the workflow and the data until the root cause is clear.

  2. Design.

    A written plan: scope, owners, timeline and the measure of success.

  3. Build.

    The fix itself: workflow, integration, dashboard or AI.

  4. Measure.

    Track the result and refine until it holds. Then repeat.

We build what we recommend.

Our team designs and runs its own healthcare technology. The same thinking goes into every client engagement.

Executive cockpit dashboard built by Healthcare Utilization Consultants, showing sample data

AiFax

Every incoming fax read, summarized and matched to the right patient, with filing into the patient's chart (within what each EHR allows).

Visit aifax.net

AdmitLogic

Predicts the right level of care at the moment of ED arrival, validated on nearly 400,000 encounters.

Visit admitlogic.ai

Care Intelligence

Executive, risk and referral-leakage dashboards for capitated and Part B groups.

Explore care management
"Technology is our leverage. Problem-solving is our skill. Execution is what sets us apart."

The HUC standard

Enterprise transformation discipline, applied from a single practice to a multi-site health system.

  • Systems thinking
  • Root-cause analysis
  • Iterative intelligence
  • Cross-disciplinary thinking
  • Execution and persistence

Mission

Help physician practices, and the organizations that support them, run better by solving operational problems at the root and building solutions that last.

Intent

Every engagement ends with something working: a workflow, a tool or a dashboard your team uses every day.

Goals

Lower overhead, with one partner instead of many vendors. Less manual work for staff. Fewer patients and dollars lost between visits, referrals and admissions. Solutions your team owns.

Tell us the problem. We will show you the fix.

As your IT department or alongside your team, we partner with your practice for the long run and build what you need next.

admin@healthcareutilization.com