What We Offer:
- Pre-Authorization & Medical Necessity Review
Ensure all services meet payer requirements using evidence-based tools like InterQual and MCG. - Concurrent & Retrospective Chart Reviews
Real-time and post-treatment reviews by experienced RNs with U.S. clinical exposure. - Case Management Support Coordination, care planning, and transition support that drives better patient outcomes and cost savings.
- Appeals & Denial Management Strategically written appeals based on clinical documentation and guideline alignment.
Why Outsource with Us?
- Significant Cost Savings without compromising care quality
- Highly Trained Filipino Nurses with UR experience and U.S. certifications
- HIPAA-Compliant Systems and secure documentation
- 24/7 Availability to match U.S. time zones
- Leadership-Driven Execution led by nurse entrepreneurs and experts in clinical operations