HealthHelp’s nine evidence-based radiology benefit management programs minimize waste, raise safety and quality standards, and measure results.
The HealthHelp team analyzes each client’s location, market size, claims data, and other factors to determine which combination of programs will most effectively enhance care quality and reduce unnecessary radiation exposure while creating significant savings and lowering imaging and radiation therapy costs. Once we determine the right product mix to achieve a health plan’s goals, HealthHelp tailors a custom implementation plan that includes rich radiology benefit training for physicians and staff.
HealthHelp offers the following services:
RadConsult™: RadConsult reduces unnecessary procedures, limits radiation exposure, and ensures optimal radiation therapy treatment by providing ordering physicians with real-time decision support from
peer experts.
RadCert™:Preauthorization with Provider Education
RadCert’s education component enhances our traditional
precertification program.
RadScope™:Facilitating Physician Privileging RadScope safeguards test quality and deters unnecessary imaging.
RadSite™: Facility Assessment and Data Warehousing
RadSite helps to establish and enforce technical outpatient imaging standards that ensure safety and quality among contracted providers.
RadAlert™: Referral Pattern Analysis and Modification
RadAlert allows payers to monitor radiology exam ordering patterns and identify providers who may need ordering behavior modification training.
CodeRight™:Automated Claims Review CodeRight is a claims-auditing software program for diagnostic imaging and radiation oncology that ensures correct provider billing and payment.
RadDirect™:Radiology Scheduling
RadDirect saves physicians time and enrollees money by providing patients with an inexpensive, accessible, and convenient in-network imaging option.
RadExcell™:Physician Education
RadExcell is HealthHelp’s on-line, ACCME-accredited clinical education program for nonradiology specialists.
RadAware™:Patient Education
RadAware is a patient-education program that reduces imaging exam volume by informing members about the risks, benefits, and reasons for common imaging procedures.
