利用审查和同行审查亚博真人官方版APP
Accelerate recovery through prompt, reasonable and necessary care
Experience tailored workflows that empower clients and improve patient outcomes in a complex medical landscape.
简化医疗决策过程
Genex’s 利用审核 Services help accelerate and improve decision-making and delivery of appropriate care for individuals. 结果超过URAC和/或州要求, our expedited decisions and treatment scheduling saves administrative time and burden, while ensuring the injured/ill individual gets the care they need as quickly as possible. This easy-to-use process has minimal information requirements for the decision. 服务包括:
- 未来的评估
- 并发审查
- 回顾性研究
- 或者将同行评议作为一项独立的服务
量身定制的工作流和服务交付模型
Our flexible service delivery models are unique to each client based upon your priorities and goals. Our proprietary utilization review system and automated technology incorporates evidence-based guidelines and applicable jurisdictional rules and seamlessly integrates with case management, 法案审查, and pharmacy benefit management giving you greater control over care and medical spend across the continuum of care. Our service delivery models include full-service utilization review and 同行评审, 独立同行评议, 或者溢出来补充你的内部操作.
关注法规遵从性
Genex has been accredited by URAC in Workers’ Compensation Utilization Management since 1996 and holds an additional accreditation as an 独立审查机构 (IRO). 作为一个全国性的利用审查服务提供商, 你可以依靠Genex的司法管辖权, workers’ compensation and auto expertise to meet all regulatory requirements.
自动化,可定制的 & 特别有效的
Our intelligent managed care software 米切尔ReviewStat is designed to streamline the care continuum. 使用米切尔ReviewStat增强您的医疗管理程序. This highly automated workflow solution is built to facilitate and monitor the progress of cases for utilization review, 同行评审, 病例管理及其他. ReviewStat自动化决策并简化流程, allowing your clinical team to focus on providing better outcomes. 米切尔ReviewStat provides the following features to help you boost efficiency and improve quality:
报告功能
Clearly understand program performance with custom ad hoc export capabilities and quality assurance reporting options to support managers in real-time.
多业务系统
Utilize our built-in 同行评审 services or integrate your 同行评审 vendor software systems with our platform.
自动化功能
Automate your medical management interactions for utilization review, 同行评审 or case management assignments and tasks to qualified reviewers by leveraging our assignment and workload balancing rules engines.
高效和可定制的技术
Realize greater efficiency and productivity from your medical management team with advanced automation and customized views.
灵活的工作流
Meet business-specific needs with our automated capabilities and functionality.
使用ReviewStat的好处
我们以客户为中心的软件, 包括我们健壮的规则引擎, 旨在通过以下方式为临床专业人员提供高质量的结果:
- Enhancing quality and creating more accurate and consistent outcomes.
- Automating decisions, thereby allowing clinical reviewers more time to focus on important tasks.
- Eliminating manual administrative tasks by streamlining multiple processes.
- Accelerating communications between the various stakeholders and medical providers involved in the medical management lifecycle.
- Improving productivity by conveniently integrating with other platforms.
- 降低医疗审查成本.
- 跟踪工作能力, lost time and auto-assessing Return to Work using benchmarks and automated savings calculations.
- 允许客户, 通过健壮和可配置的模块, 轻松自动生成发票, 进度报告和活动记录.
通过利用ReviewStat，客户可以体验到:
- 99.9% 每季度正常运行时间
- 50% 效率增加
ReviewStat为密歇根汽车使用审查要求
米切尔ReviewStat helps carriers perform retrospective utilization reviews in compliance with the Michigan utilization review administrative rules that went into effect on July 2, 2020. 点击这里 了解更多关于米切尔汽车事故亚博真人官方版APP的信息, and fill out the form below for more information about Mitchell’s Michigan utilization review capabilities.
同行评审
Genex’s industry-leading 同行评审 program provides clinically sound, 防御性的评论, targeting unnecessary medical costs and procedures with input from actively practicing physicians. Our national network of credentialled and licensed physicians cover all specialties and meet all jurisdictional requirements. Physicians are available for both initial and appeal-level reviews.
了解更多Genex服务申诉流程
The Genex grievance process addresses all formal complaints regarding non-clinical and non-determination related Genex processes or services. The grievance process does not address the clinical decision focuses on concerns with the process or people involved in developing the determination. Examples of grievances could be complaints that the utilization review decision was not done within time frames established by the Labor Code or that the physician who rendered the determination was not licensed.
了解更多
提供更好的临床结果
To accelerate the delivery of optimal care and expedite recovery, 我们提供一位专家的免费咨询. 在一起, we will begin to build a customized utilization review program to meet your company’s unique needs.
