Services
Fully managed Utilization Review that integrates with your operations—no new infrastructure required.
24/7 Utilization Review as a Service (URaaS)
Expert-driven concurrent and retrospective reviews to optimize clinical and financial performance.
- Concurrent/retrospective reviews
- Medical necessity validation
- Nationally recognized criteria
Clinical Documentation Integrity/ Improvement
Transform clinical data into improved quality metrics and maximized revenue with our expert CDI services. We ensure your documentation accurately reflects patient severity, driving full and timely reimbursement while elevating your hospital's public quality scores.
- Increasing compliance accuracy and documentation
- Enhancing revenue accuracy
- Reduction in claims denials
Denials Management
Our integrated denials management approach maximizes your hospital's revenue recovery by combining expert appeals writing with effective peer-to-peer services to systematically overturn claim rejections and secure appropriate reimbursements.
- Peer to Peer Services
- Appeals Writing
Compliance & Quality Assurance
Maintain payer alignment and audit readiness with standardized documentation and QA.
- Policy-aligned documentation
- Regular QA audits
- Training and updates
- Data Abstraction (Stroke/Sepsis)
Readmissions Prevention
Enhance your readmission prevention efforts by ensuring patients adhere to their recovery plans and avoid unnecessary return visits.
- 30-day readmissions support
- Post discharge nursing support
Executive Analytics
Dashboard reporting tailored to CEOs, CFOs, CNOs, and VPs of Revenue Cycle.
- Outcome metrics & ROI
- Trend analyses
- Operational insights
Ready to see impact without the wait?
Request a 20-minute walkthrough of our plug-and-play UR service.