What is the purpose of utilization management?

It's a case-by-case evaluation of care justification to eligible patients to manage the cost of care including ones that influence decision-making in the patient care.

Why is utilization review important in healthcare?

It helps insurers to check the eligibility of inbound requests and the potential for coverage. In many ways, it limits excess cash outflow and accepts a genuine request from patients.

Outsource Healthcare Utilization Management Services

Is your healthcare business looking to gain key insights and accelerate its transformation? Are you on the lookout for skilled resources who can handle all your requirements? Then, the best option for you would be to outsource healthcare utilization management services to an experienced and skilled healthcare utilization management service provider.

Flatworld Solutions is one such healthcare utilization management service providing company that can take care of all your requirements with ease. We have some of the most experienced and skilled healthcare utilization management experts who can cater to all your needs. We leverage the latest tools and technologies while delivering the best quality services.

Healthcare Utilization Management Services We Offer

Flatworld Solutions is one of the leading providers of healthcare utilization management services to clients around the globe for over 19 years. We understand each client's unique requirements and provide them with services that are customized to their needs. Some of the key healthcare utilization management services we can help you with include -

Document quality review

Administrative decision support

Clinical decision support

Utilization analysis

Cost analysis

Operational efficiencies

Outreach calls

Inpatient/Outpatient document verification

Patient letter verification

Fax queue verification

Document routing

Reviewing cases and workflows

Document alert notifications

Member and provider notifications

Retrospective reviews and authorization

Placement status reviews

ROI tracking

Other Services You Can Benefit From

Why Choose FWS for Healthcare Utilization Management Services?

Outsourcing healthcare utilization management services to us can give you access to a series of benefits that you can take advantage of. Some of the key reasons for you to choose us as your healthcare utilization management service providing company are listed here -

Flexible Pricing Packages

We help our clients with highly flexible and cost-effective pricing plans which will suit their budget and business requirements perfectly.
Data Security

We are an ISO/IEC 27002:2013 ISMS certified firm which ensures that all the data you share with us will be completely safe and secure.
HIPAA Compliance

We start every project only after signing the HIPAA agreement. This ensures that all the patient data is kept safe and not divulged to any third party.
Experienced Team

Our team comprises some of the most experienced and skilled healthcare utilization management experts who can handle all your requirements.
Error-free Services

Being an ISO certified organization, you can rest assured that all the utilization management in healthcare services delivered by our team will be of the best quality and error-free.
Quick Turnaround Time

Our team operates through several delivery locations across the globe and can deliver the best quality healthcare utilization management services within a quick time.
Best Infrastructure

We know the importance of having the best infrastructure and have access to the latest healthcare utilization management tools and technologies along with world-class workspaces.
Dedicated Manager

When you choose to partner with us, we will assign a dedicated manager to you. This manager will be the single point of contact for all your needs.
Round the Clock Support

Our teams including project management, sales, and marketing are available at all times via phone or email to answer your queries.
Highly Scalable Services

We have the required skills and expertise to scale up the team size and service requirements as and when the client asks for it.

Client Success Stories

Automation of STAT Reports for a Barbados-based Client

A leading group of radiologists based in Barbados was looking for a reliable medical billing services provider who could help them with the automation of STAT reports. We provide the client with cost-effective services.

Medical Billing Support to a US-based Client

A leading US-based medical billing services administrator was looking for a medical billing service provider. Our team at FWS provided the client with cost-effective services.

Testimonials

Each of you bring something different to our team, which makes us POWERFUL! I cannot tell you enough that we have the BEST team!!!

Director, Revenue Management of Operations,
Medical Practice Management Solutions Provider, IL More Testimonials »

Flatworld Solutions has been a pioneer in providing healthcare utilization management services and a series of other healthcare BPO services to global clients. We have some of the most experienced and skilled healthcare utilization management specialists who can take care of all your requirements with ease. We understand the importance of utilization management and leverage the latest tools and software while delivering top-notch services.

If you are looking for a reliable and cost-effective healthcare utilization management service provider, then your search ends here. Get in touch with us today!