Utilization Management
CorVel's utilization management program reviews proposed care to determine appropriateness, frequency, duration and care setting. Our experienced staff of registered nurses, medical directors and extensive panel of board-certified physicians helps eliminate unnecessary treatments and associated costs. The program is enhanced by our expert systems technology and the use of nationally recognized medical treatment protocols.
Services
Features
- Medical treatment plan review
- Patient channeling to preferred providers
- Coordination with patients and providers
- Well-defined dispute resolution process
- Compliance with URAC standards
Benefits
- Access to experienced utilization review professionals
- Reduce potential for over utilization
- Streamline coordination of care
- Control medical costs while ensuring quality of care
- Supporting documentation for care
Selection of Evidence Based Medical Guidelines Utilized
- ACOEM – Medical Practice Guidelines
- Official Disability Guidelines – Work Loss Data Institute
- Medical Disability Advisor
