Best Utilization Management Software
Utilization management software provides hospitals and health care practices a process with which to evaluate health care services and procedures provided to patients to determine their medical necessity. Health care administrators depend on utilization management processes to ensure that their physicians are maintaining a high quality of care and administering effective treatments while minimizing costs. Utilization management review and determination can occur before (prospective utilization review), during (concurrent utilization review), or after (retrospective utilization review) patient treatment has been scheduled and provided; software supports action during any of those three stages. Additionally, utilization management software has the potential to better the working relationship between providers and payers. By leveraging patient data found in EHRs, health care providers can apply real-time data to the review process, adhere to regulations, and optimize revenue cycle management. Registered nurses equipped with utilization management certification, case managers, and physicians are the main players during the review process.
To qualify for inclusion in the Utilization Management category, a product must:
Best Utilization Management Software At A Glance
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Therap Services is the national leader in HIPAA-compliant electronic documentation solutions for organizations in Long-Term Services and Supports (LTSS), Home and Community-Based Services (HCBS), and
513 Twitter followers
Our single, modular cloud-based platform empowers healthcare providers with Best in KLAS modules designed for better decision support, financial planning, and continuous improvement to drive margins.
400 Twitter followers
Intergy offers ambulatory practices a specialty-focused EHR and practice management solution that is both user-friendly and customizable. With Intergy’s tools, users can manage chronic conditions, cap
9,297 Twitter followers
Atlas is a powerful financial and operational reporting solution for Dynamics AX and D365 F&SCM that helps businesses create reports more efficiently and with less effort. Atlas comes packed with
802 Twitter followers
Olio’s secure platform enables greater collaboration between acute and post-acute healthcare providers, so patients receive more coordinated care. The platform gives hospitals, physicians, and their t
92 Twitter followers
To thrive in today’s rapidly-changing care economy, you need to know you’re making the best decisions for your organization—decisions based on solid data, not hearsay. With Trella on your team, you ca
426 Twitter followers
Clarify Health unlocks valuable insights making complex care decisions easier for providers, payers, tech and services organizations, and life science companies. The Clarify Atlas Platform® forms the
Noom Inc., a leader in mobile health coaching, combines the power of technology with the empathy of real human coaches to deliver successful behavior change at scale. Nooms direct-to-consumer weight l
AbleTo is a leading provider of virtual behavioral health care. Deep behavioral health insights and an integrated proprietary platform identifies and engages the right patients with the right support
1,301 Twitter followers
Midas Health Analytics, part of the symplr Operations Platform, helps hospitals and health systems access real-time data, measure physician performance, and manage risk to improve care quality, stream
959 Twitter followers
BedTracking is a patient management software with interactive voice response, room cleaning requests automation, bed status tracking, and reporting tools.
3,416 Twitter followers
TreeAge Pro covers all your modeling needs. Both products include the base model building and analysis tools and the Excel Module.
51 Twitter followers
The AveCare Software platform enables collaborative care through integrated solutions for: Case Management, Disease Management, Utilization Management , Patient Advocacy. AveCare Care Management Softw
No monthly or yearly fees - a single price for the entire office. One person in the office can transform their entire practice culture and improve workflow efficiency simply by downloading BlueNote Co
664 Twitter followers
An automation solution for providers/care managers that want to leverage their EHR to complete InterQual medical reviews automatically, instantly, and accurately.
35,919 Twitter followers
