|
MediCall has over two years of UM experience
and currently services over 20 million US members with UM related
services. Our experienced staff of US Registered Nurses are providing
UM services at extremely high quality levels. The MediCall nurses
have experience with several different aspects of Utilization Management,
such as:
- UM Intake
- Inpatient pre-certification / pre-determination
- Concurrent inpatient review
- Outpatient utilization review
- Network Direction
- Retrospective utilization review
- Calling providers on behalf of
the our clients UM team for routine UM follow up calls
By utilizing MediCall nurses to provide
UM, our clients are able to measure and monitor our progress through
their own IT systems (since we typically provide the work within
our clients systems). The overall cost savings potential on this
program is very significant and enables the health plans to lower
their overall administrative cost in order to remain cost competitive
in the marketplace.
MediCall Offers:
- U.S. licensed registered nurses
- Dedicated U.S. based client service manager
- Information technology integration
- Utilize clients existing applications
- Utilize MediCall applications
- Combination of multiple applications
- Customized use of clinical protocols
- Expansion of your existing RN resources
- MediCall RN team trained to your
specifications
- Training at Client Facility
- Training at MediCall Facility
- Remote training
- Best-of-breed scripting application technology
- HIPAA compliance
- URAC Core accredited environment
- Multi-level analytical reporting capabilities
- Inbound and Outbound capabilities
- Toll-free access 24x7x365
Copyright © 2009 MediCall. All right reserved.
|
