Radiation oncology treatment plans that achieve the best outcomes can also result in the best long-term cost effectiveness for payers.

 

HealthHelp is the first company to offer radiation oncology benefit management nationwide. By making sure patients receive proper amounts of radiation using the right treatment plans, HealthHelp lowers long-term costs by helping prevent

 

• recurring cancers, which can result from ineffective radiation delivery;
• secondary cancers caused by unnecessary radiation exposure to healthy tissue; and
• side effects, which can require additional treatment.

 

Through HealthHelp’s collaborative process, payers ensure that radiation oncology treatment plans conform to the latest medical evidence for all types of cancer. Physicians receive clinical review criteria consistent with leading national guidelines.

 

HealthHelp provides one-time authorization for complete radiation oncology treatment plans that incorporate

 

• 2D/3D conformal radiation,
• intensity-modulated radiation therapy (IMRT),
• stereotactic radiosurgery and radiotherapy,
• selective internal radiation therapy (SIRT),
• brachytherapy, and
• proton-beam therapy.

 

HealthHelp’s groundbreaking radiation oncology management services can be combined with its innovative and cost effective diagnostic imaging  and cardiology  services, or it can complement other vendors’ radiology benefit management programs.

 

HealthHelp manages radiation oncology benefits through the following programs.

 

Programs

 

• Consult™:  Collaborative Specialty Benefit Management
  Lowers cost by putting the latest medical evidence at physicians’ fingertips—and peer experts a phone call away
• Cert™:  Consultative Preauthorization
  Builds physician knowledge through traditional precertification
• CodeRight™:   Claims Review
  Ensures correct payment of medical claims