Health Business Solutions
Utilization Review (UR) at Health Business Solutions

Utilization Review (UR)

HBS conducts retrospective case reviews to address quality concerns and submit clinical appeals to payers. HBS utilizes a team of healthcare specialists including physicians and registered nurses to review denied services related to medical necessity, appropriate level of care, length of stay, delays in service/discharge, appropriateness of admission and pre-existing reviews. Medical records are thoroughly examined and individualized appeals are prepared for each and every case. Our feedback assists healthcare providers in identifying documentation issues, addressing reduced level of care authorizations and preventing denied days.

Health Business Solutions defines Utilization Review
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