Collaborative Preauthorization
    Managing Radiology Cost and Quality

RadCert™ collaboratively builds physician knowledge while offering traditional precertification services for individual diagnostic imaging tests or complete radiation oncology treatment plans. Although it provides for denials and supports appeals, RadCert’s long-term success results from changing ordering patterns by enhancing physician knowledge. This reduces unnecessary exams, radiation exposure, and defensive medicine.

Ordering physicians can use HealthHelp’s Radiology Consultant for Oncology and Imaging to choose options that offer the greatest clinical value with the lowest risks. This helpful tool contains the latest evidence-based information arranged by clinical condition.

When exam requests and treatment plans don’t correlate with HealthHelp’s evidence-based guidelines, subspecialists with Thomas Jefferson University, the University of Washington, and other respected academic radiology departments provide consultation. Reviews are completed within forty-eight hours.

HealthHelp supports appeals by maintaining case information, providing peer-reviewed literature, and assisting payers in person or by phone. We also work closely with our clients’ medical management teams to produce relevant, informative reports on utilization management, physician usage, and other trends.