Utilization Review and Large Case Management
| The HMA Utilization Management staff consists of highly trained and educated professionals who specialize in managed care. We are widely regarded as having one of the finest and most comprehensive Utilization Management and Large Case Management programs available. Our emphasis includes ensuring that the proper levels of care are delivered. We also work closely with our clients in developing programs to efficiently administer the utilization of medical services. Quality Care Utilization management is not about withholding care. It is about matching the patient with the most effective level of care available. The HMA utilization management program does just that. We help eliminate unnecessary procedures, shorten hospital stays, and enhance the delivery of care. We also make sure that the patient received care is proper for the situation and in the most appropriate environment. Our goal is to maintain the highest quality of care. We contain costs without disrupting the healthcare process. Experience... Quality... Service Our utilization management team is led by a Medical Director and registered nurses. They work together with the local medical community and the client to provide an integrated managed care approach. They bring a high level of expertise, dedication and innovation to our utilization management programs. The result is an increased level of care and superior service to our clients. Portfolio of Services - Inpatient Review (Precertification and Concurrent Review)
- Outpatient Surgery Review
- High-Cost Outpatient Testing Review
- Referrals Management
- Disease Management Programs
- Quality On-Site Programs
- Case Management
- High Risk Maternity Programs
- Mental Health and Substance Abuse Review
- Ancillary Services Review (Home Health, Home IV, Durable Medical Equipment)
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