Utilization Management

Manage and contain medical and disability costs with Broadspire’s objective evaluations of the medical necessity and appropriateness of proposed treatment plans. Broadspire’s utilization management (UM) program uses professionally recognized standards for evaluating treatment plans.

• Supported by Broadspire’s in-house medical department, which includes over 100 contracted physicians covering more than 30 specialty areas
• Prospective/pre-admission/pre-certification/pre-authorization review to evaluate and determine proposed treatment plan necessity and appropriateness
• Concurrent review of continued services during inpatient hospitalization or outpatient treatment
• Retrospective review of all medical records following discharge from treatment
• Pharmacy review to identify early over-utilization and inappropriate prescription use

Learn more about our utilization management program. Call 1-866-625-1662 or contact us.