Utilization Management / Quality Management / Peer to Peer Programs
Our goal is to ensure that utilization is appropriate, and that our activities measurably impact favorable health outcomes for the patients that we serve:
- Medically Supervised
- Medical Advisory Committee
- Clinical Outcome Studies
- Chart Reviews
- Concurrent review of medical records, clinical outcome studies, and encounter reporting
- Ongoing analyses of access & availability
- Peer to Peer Review System
- Accurate Diagnosis Benchmarks