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Allmed provides clinical decision making and utilization management solutions to leading payer and provider organizations.

Health care near me. Utilization management um our comprehensive utilization management is a systematic approach to addressing your members behavioral health care needs. Our team consists of psychiatrists master level clinical social workers registered nurses and psychiatrists with years of experience and extensive knowledge and training. Our behavioral health utilization management teams are licensed andor certified experts in mental health and substance use disorders.

Utilization review specialist. The complete utilization review process consists of precertification continued stay review and transition of care. Email or phone.

Managing care coordination case management denials discharge planning medicare vs. By documenting a clients treatment progress you are able to provide a story of their journey to an improved life and overall well being. Utilization management consists of so many complex tasks ie.

Commercial payers statuses health outcomes utilization review that the process can quickly become overwhelming. This includes medical necessity continued stay level of care potential delays in care and progression of care. Improving behavioral health utilization review and clinical documentation behavioral health clinical documentation is important to provide information to providers and outside payors.

We work closely with your team toward a shared vision of healthcare that delivers the highest quality values patient experience and ensures both appropriate care and utilization of health related services. When a patient is admitted to the facility a first level review is conducted for appropriateness. We are fully accredited by utilization review accreditation committee urac.

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