Utilization Management
Facilitate payer-provider communication for smoother patient transitions
Utilization management is a critical component of the patient journey.
An inefficient process can result in longer lengths of stay, increased administrative denials, and a disconnect between hospitals, health plans and post-acute providers.
56
%
20
%
Electronically share clinical information between providers and health plans to expedite authorization requests and better identify level of care determinations.
- Facilitate payer-provider communication to send post-acute authorization and custom forms electronically through an automated workflow
- Identify inpatient or observation stay patients automatically
- Triage clinically complex patients and easily identify non-outlier patients
Overall benefits:
- Streamline communication between health plans and providers
- Improve first submission success and minimize provider abrasion
- Reduce denials and appeals, and avoidable days
- Enhance clinical decision support
- Dedicate more time to patient care through decreased time spent on administrative tasks
- Lessen the burden of identifying patients that require manual intervention
CarePort’s Product Suite
Guide
Connect
Insight
Care Management
Transition
Referral Management
Discharge
Intake
CarePort Guide
Guide patient decision-making during discharge and increase referrals to top-performing providers
CarePort Connect
Track and manage patients across the continuum to improve outcomes and spend
CarePort Insight
Assess outcomes using objective, real-time and automated reporting
CarePort Care Management
Power care transitions through a robust post-acute network and streamlined care management workflows
CarePort Transition
Create, manage and send post-acute referrals embedded directly within your EHR
CarePort Referral Management
Receive, respond and review all patient referral activity in a single electronic system
CarePort Discharge
Manage patient episodes across the care continuum to ensure quick and efficient care transitions
CarePort Intake
Securely connect with hospital partners and manage referrals from any referral source – all in one place
Request a Demo
See how CarePort’s solutions would work in your organization.
