Delivery of the appropriate medical care at the right time is key to successful medical management. To that end, our utilization management program drives recovery advocacy through collaboration and medical treatment decisions which are consistent with evidence-based practice.

Our team of licensed health care professionals is committed to the principle that appropriate medical care not only reliably returns an optimal medical outcome but is cost effective and prevents escalation of medical costs associated with iatrogenic illness and disability.

AT-A-GLANCE

  • URAC Accredited – Workers’ Compensation Utilization Management
  • National coverage, to include credentialed, board-certified clinical reviewers
  • Proprietary utilization management software platform for seamless integration
  • Customized solutions based on client program goals
  • Licensed utilization review nurse case analysis – clinical assessment based on the comprehensive case, not isolated ICD-10 and/or CPT code automation
  • Regulatory compliance – 99.99% on-time decisions
  • Transparency through data analytics and quality management initiatives

Suite of Solutions:

  • Prospective Review
  • Concurrent Review
  • Retrospective Review
  • Expedited Review
  • Physician Advisor / Clinical Peer Review
  • Drug Utilization Review
  • Early Compensability Review
  • Independent Medical Exams

Case Management

Novare provides best practices that help injured workers and reduces employer cost

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Utilization Management

We use licensed nurses and board certified physicians helping maintain cost.

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Medical Bill Review

Utilizes automated bill review software to maximize potential reductions for authorized payments.

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MSP Service

Compliance driven solutions with personalized

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