Utilization Management

You want your patients to receive the level of care that they need to heal. However, too often, insurance companies will deny needed services. A utilization review team can review medical necessity documentation in order to appeal denials. CodeMax Medical Billing’s utilization management services are an integral part of helping your organization save money, reduce waste, and more effectively care for patients.

In the face of rising healthcare costs, utilization management is crucial. Your clinical expertise and your patients’ needs should be the determining factors of the care your patients receive, not the bottom line of insurance companies.

Connect with CodeMaxMB today at 818.600.4146 or reach out to our team online to learn more about utilization management and our comprehensive coding and billing services.

What Is Utilization Management?

Utilization management involves ensuring that patients get the treatment they need and reducing healthcare waste. Maximizing what insurance will cover is a core part of utilization management, as is ensuring that patients don’t go through unnecessary tests or procedures during their time in treatment. For substance use disorder and mental health treatment centers, physician’s offices, surgery centers, and laboratories, utilization management can help reduce costs and ensure that all of your services are correctly coded and covered by insurance.

Spend More Time on Patient Care with CodeMaxMB

Our utilization review team is led by an ASAM-certified physician who provides oversight. Some of what we can provide to your business includes:

Additionally, we’ll use our existing relationships with care managers at the top providers frequently contacted for UR management. 

While there are numerous benefits of our utilization management services, what you’ll notice immediately is the impact on denials. You’ll have more freedom to give patients the care they need knowing that our utilization review team is on your side. By working with insurance companies on your behalf, CodeMaxMB can help you save time as well. You won’t need to maintain an internal billing department. Instead, you can devote more resources to patient care and to improving your processes. In short, utilization management can provide cascading benefits in a short period of time.

Contact CodeMaxMB for Utilization Management Services Today

CodeMax Medical Billing offers all of the coding and billing services you need. Outsourcing your billing department to our experienced team will give you more time to focus on patient care. You can have peace of mind knowing that we’ll handle dealing with insurance, pursuing payments, and working through any legal issues as necessary.

In addition to utilization management, the services we offer include

Put our decades of experience to use. Contact CodeMaxMB today at 818.600.4146 or reach out online today to learn more.