Utilization Review and Pre-Authorization
Better decisions faster
During utilization review, you need to make critical decisions on tight timelines. Without excellent support systems, you may wind up approving unnecessary medical treatments, or overlooking the most appropriate course of treatment that could return an employee to work more quickly.
DataCare Utilization Review software speeds up communication, resulting in turnaround times of about three days, with substantially lower costs. Many users say they are able to spend more quality time on their cases and handle twice as many cases.
“The DataCare Platform provides a more efficient, complete, and accurate utilization review process that saves time, lowers costs, and insures that the right decision is made quickly.” -Dr Doug Benner, medical business product development officer at EK Health, former 30-year Occupational Health Services lead at Kaiser
Productive Streamlined Workflow for Faster Turnaround
- All material at a reviewer's fingertips
- Automates tasks that don't add value like printing, searching, shredding, and faxing
Real-time Visibility and Reporting Avoids Additional Penalties
- Track and monitor the progress of cases
- Notification and escalation of late reports
Analytics: Tracking UR Treatment Authorization Codes Saves Medical Cost
- Provides integrated evidence-based guidelines
- Supports CPT treatment codes tracking
Integrates with other DataCare Programs:
- Case Management
- Express Approval
- UR Enforcer
Our Utilization Review module like all DataCare software, uses the Ahshay electronic workplace and can be purchased stand alone or as part of a suite.