MedCert: Streamlining Pre-authorizations to Reduce Costs

MedCert

MedCert is AllMed's first-level pre-authorization medical review solution for health plans looking for support for their utilization management operations. With MedCert, health plans and medical management organizations can easily outsource the physician review portion of their pre-authorization processes, resulting in reduced costs.

MedCert is designed to:

  • Provide physician review of suggested denials from utilization review and case management
  • Cover for Medical Director vacation and free up your Medical Director to work on higher value-added functions
  • Handle changing medical review caseloads and volume fluctuations
  • Review coverage and experimental and investigational procedures and treatments to determine whether clinical criteria has been met

Each MedCert review determination is a simple "certify" or "non-certify" determination with an easy-to-read, abbreviated rationale. MedCert is deployed through PeerPoint®, AllMed's state-of-the art medical review portal. This allows you to send, track, and receive cases electronically while meeting the highest information security standards.
 
Want to learn more about how MedCert can help streamline your operations? Download the brochure.

 

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