HealthHelp’s nine evidence-based radiology benefit management programs address factors that inflate the cost of diagnostic imaging and radiation oncology—from procedure ordering to patient education.
Our team customizes radiology benefit management services for health plans by analyzing each client’s location, market size, claims data, and other factors. Through this process, HealthHelp determines the best combination of programs to most effectively reduce cost, improve care quality, and prevent radiation-related illnesses. Implementation also includes thorough radiology benefit training for physicians and staff.
HealthHelp offers the following services:
RadConsult™: Collaborative Radiology Management
RadConsult lowers cost by putting the latest medical evidence at physicians’ fingertips—and peer experts a phone call away.
RadCert™:Collaborative Preauthorization
RadCert™ builds physician knowledge through traditional precertification.
RadDirect™:Radiology Scheduling
RadDirect schedules services with inexpensive, accessible, and convenient in-network providers.
RadSite™: Facility Assessment and Data Warehousing
RadSite helps establish and enforce technical standards that ensure safety and quality among contracted providers.
RadAlert™: Referral Pattern Analysis and Modification
RadAlert allows payers to monitor ordering patterns and identify providers who may need ordering behavior modification training.
CodeRight™:Automated Claims Review CodeRight, HealthHelp’s flexible claims-auditing program, ensures correct provider billing and payment for medical claims.
RadExcell™:Physician Education
RadExcell is HealthHelp’s on-line, ACCME-accredited clinical education program addressing diagnostic imaging 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.
