Consultative Preauthorization

Managing Specialty Costs and Quality

 

Moving healthcare forward means managing costs while maintaining the quality service our clients have come to expect. HealthHelp’s innovative pre-authorization program, Cert, has proven long-term success by both enhancing physicians’ knowledge and changing ordering patterns.

 

Cert collaboratively builds physician knowledge with these unique features:

• Traditional pre-certification services for individual diagnostic imaging and interventional radiology, cardiology tests and implantable devices, and complete radiation and medical oncology treatment plans.

• Exclusive Medical Imaging Consultant tool to choose options that offer optimal value at lowest risk.

• The latest evidence-based information arranged by clinical condition.

• Available consultation with subspecialists from Thomas Jefferson University, the University of Washington, and other renowned medical schools when exam requests and treatment plans don’t correlate with HealthHelp’s clinical guidelines.

• Appeal support for Cert clients by maintaining case information, providing peer-reviewed literature and assisting payors in person or by phone.