As a boutique firm specializing in behavioral healthcare, we provide full-service yet flexible utilization review management for companies and clinics with varying censes.

A crucial component of the revenue management cycle, utilization review helps ensure patients receive the right care, assessing and communicating the medical necessity and appropriateness of care to the insurance provider. Our team of in-house UR specialists works closely with our clients to understand each individual patient case, so they can be sure we are presenting the most accurate and appropriate information to achieve benefits coverage.

Documentation of patient treatment and observations plays a critical role in the UR process. Without detailed, specific clinical notes, UR specialists cannot effectively communicate medical necessity, which could result in insurance denials.

We provide training for your clinical staff that focuses on the role of utilization management in a healthcare setting, and how to most effectively chart toward medical necessity.

Prefer to train your own employees and bring UR in-house? We can help with that!

Empower your team with the knowledge and skills to manage utilization review internally. Our expert-led training equips your staff with the tools, procedures and compliance insight needed to perform efficient, accurate utilization reviews. Whether you're building a UR department from scratch or upskilling existing staff, we tailor our training to meet your business' specific needs.