Utilization Management Services (UMS) A Frazier & Associates Utilization Management Services employs the oversight of medical necessity based on clinical information according to jurisdictional regulation, criteria based guidelines and industry standard requirements as their platform for review. UM conducts this evaluation based on the medical necessity of services, utilization of services, intensity of service, and the appropriateness of the care setting. A Frazier & Associate’s team approach works to ensure all timeframes are met by participating in the discharge planning process with hospital case managers and social workers. It is through excellent decision-making abilities, that A Frazier & Associates’ impact cases by demonstrating medical savings through their extensive knowledge of medical practice, equipment use, terminology, and pharmaceutical therapies.
A Frazier & Associates Utilization Management Services focuses on:
- Management of cases for quality care
- Identification of Case Management needs
- Discharge Planning
- Identification of delays in care and inappropriate care
For more information about our services contact us today!