Utilization Management Services
Utilization Management for Behavioral Health Treatment Facilities
Utilization management focuses on a patient’s continuum of care and helps care providers balance services, resources, and needs. It assures consistent delivery of quality health care services to patients.
At Coast to Coast Medical Solutions, our utilization review specialists are passionate professionals with experience specific to the behavioral health field.
Our team has developed a solid reputation as ethical and caring with case management departments across the country. We know what information is needed and work closely with clinical staff to monitor and review behavioral health services rendered, provide clinical data on diagnosis, diagnostic test results, symptoms and conditions supporting the requested services in order to obtain the highest number of authorized days.
Our behavioral health treatment facility clients benefit from our utilization management services, which include:
- Preauthorization of services
- Concurrent planning, discharge planning
- Medical record review to determine proper documentation supporting billed medical services
- Assist in educating clinical staff in medical record reviews and clinical case appeals, to show proper documentation that supports the billed services
Many health care providers have already experienced the value of our tried and true utilization management approach. Let us help you control health care costs, increase revenue, and improve patient outcomes. Call Coast to Coast Medical Solutions office at (561) 855-2728 to find out how we can help your business, too.
