Care Review Services determines the medical necessity of treatments and hospitalization and is utilized by many of the companies in our managed care network. Review components include:
- pre-admission review
- emergency admission review
- concurrent review
- discharge planning
- managed second surgical opinion
- length of stay assignment
- psychiatric/chemical dependency review
- outpatient surgery review
- network channeling
- out-of-network authorization
- screening for potentially high-claim cases
- case management
- contracted affiliate referrals.
