Effectively Manage Workers' Compensation with Briotix Health's Utilization Review Program
Our systematic approach to Utilization Review results in condensed treatments and accelerated recovery. Focusing on therapy, understanding effective and necessary procedures, and an awareness of treatments set Briotix apart. Offering an innovative approach to utilization review by leveraging the power of provider-to-provider conversations, the Briotix Health Utilization Review program helps claims managers control costs while ensuring quality care for workers' compensation injuries.
Established Therapeutic Services
Our experts understand what treatment entails and ensure smooth communication from employees to supervisors and providers. Licensed PT/OT/DC practitioners ensure that there is no delay in care.
Targeted Utilization with Conversations
Our reviewers target treatment based on work requirements and medical necessities specific to your company. Peer-to-peer communication directly with all involved parties eliminates unnecessary therapies.
Focused on Functional Treatment
Our process includes a deep dive into the functional needs of your injured employee, directly impacting treatment procedures not just the number of treatments.
Benefits of Briotix Health’s Utilization Review Program
Briotix Health's unique Utilization Review process significantly reduces therapy and rehabilitation expenses and fosters enhanced relationships with providers for future utilization discussions.
Our approach impacts the therapy outcome and utilization patterns by engaging PM&R providers with Briotix Health experts seasoned in coaching providers toward rapid functional recovery. This allows for a variety of benefits for both the employee and the employer.
Ensures medical necessity of care
Our discipline-specific reviewers provide recommendations based on evidence-based guidelines, industry best practices, and individual employee needs, ensuring optimal care for your team members.
Reduces unnecessary expense
Our comprehensive reviews assess whether requested services are medically necessary or if fewer visits may achieve similar outcomes.
Ensures continuum of care progress in a timely manner
Our "focus on function" treatment approach optimizes physical restoration and a faster return to normal duties.
Provides decision support for claims personnel and medical providers
Our URAC-accredited process, including a clear, concise report, enhances voluntary compliance with treatment guidelines and fosters collaborative dialog between Briotix Health experts and their professional peers.
How Briotix Health’s Utilization Review Program Works:
Step 1
Claims Manager needs assistance determining the medical necessity of requested treatments, products, or procedures
Step 4
Peer Review completed for all partial or non-certification cases; completed by a peer of the referring provider and may include a peer-to-peer conversation if requested
Step 2
Claims Manager contacts Briotix Health to begin Utilization Review Process:
Step 5
The initial clinical reviewer may also conduct a provider-to-provider conversation, conveying information back to the case manager
Step 3
Briotix Health UR team does an initial clinical review based on evidence-based medical research and clinical review criteria
Save time and money with Briotix Health's URAC Accredited Utilization Review Services!
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