|
A major cause of high healthcare cost is inefficient or inappropriate utilization of services. INDECS controls this problem through utilization review and quality assurance. Utilization Review Management (URM) assures that patients are receiving effective and appropriate care.
Utilization REVIEW through the INDECS Advantage:
- Pre-admission hospital/facility review
- Concurrent review
- Retrospective reviews
- Medical case management
- Negotiation of costs for non-network services and supplies
- Provider network steerage
- Pre-authorization review for outpatient services
- Quality assurance
- Provider/patient utilization reports
- Only URAC-certified reviewers
|
|
