UTILIZATION MANAGEMENT
Providing FULL Utilization Management/ revenue cycle services:
- Free assessment of current UR and Billing systems
- 20 % increase of authorized days immediately (within 30 days)
- 40% increase by the end of the year (12 months span)
- Training ALL staff in Medical and Clinical Depts on Medical Necessity
- Revamping Clinical Practices to reflect billable level of care
- Fine-tuning diagnostic practice to reflect requested care that is being authorized
- Mental Health vs Substance Abuse shift (focus on trauma, etc)
- Optimizing Clinical Schedule/ Modalities of Treatment/Client Care to meet payers’ requests
- Enhancement of Clinical Documentation and Medical Record at large
- Capturing/ billing for ALL provided procedures (using correct procedure codes)
- In-network negotiations with ALL Major Payers
- Producing Strategic Planning encompassing UR trends and payers’ projections
Our staff consists of Board Certified Psychiatrist, ARNP, Licensed Clinicians ( PhD., LCSW, LMHC etc.)
