Authorization & Frequency Approvals
Submit requests for initial therapy authorizations based on diagnosis, treatment goals, and expected outcomes, following payer guidelines.
Therapy Utilization Management
Our Therapy Utilization Management Services involve overseeing the appropriateness, necessity, and efficiency of therapies (such as physical therapy, occupational therapy, speech therapy, etc.) to ensure patients receive optimal care while managing costs and adhering to payer guidelines. We help healthcare providers by handling the administrative, tracking, and compliance tasks related to therapy management.
3rd party Care-coordination
Work with therapy providers to adjust plans if modifications are necessary to meet payer requirements, such as reducing session frequency or changing therapy types.
Therapy Utilization Monitoring
Track the number of therapy sessions used against insurance coverage limits, ensuring providers are aware of when coverage limits are approaching.
Reporting and Analytics
Generate reports on therapy usage, costs, and approval rates to identify trends, optimize resource allocation, and improve efficiency.