Our Expertise: Utilization Review

Maximize the quality and cost efficacy of healthcare services

Ensuring expert guidelines are followed is critical while managing requests for medically appropriate and necessary medical services.

Our solution provides multi-faceted expertise to meet those guidelines, enhance quality outcomes in a cost-effective manner, and make sure patient safety is always put first.

Utilization review partner

  • enhance medical necessity reviews
  • meet HEDIS standards
  • secure prior authorization, concurrent, and retrospective reviews
  • improve documentation and tracking of peer-to-peer conversations, reconsideration reviews, and multi-level appeal processes

Utilization review professionals

  • Utilization Review Nurse / Specialist
  • Social Worker
  • Patient Care Coordinator
  • Discharge Planner



We deliver expert consultants within reimbursement, population health, and health information technology to providers on a national basis and across all care settings. These experts empower healthcare organization success, enhance clinical and financial outcomes, and enable the transition to value-based healthcare.


442 W. Kennedy Blvd., Suite 280
Tampa, FL 33606
(813) 616-5780

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