More and more, insurers are demanding lean, efficient treatment plans justified by medical necessity. At Detox MD, our utilization review experts can ensure that your patients receive the highest level of care for the longest possible time supported by medical and payer guidelines. From patient pre authorization through reconsideration and appeals, we possess expertise in ascertaining and documenting the medical necessity of services a patient may receive. Our goal is to ensure thorough care while identifying and justifying high-risk cases at an early stage. We are your partner and advocate in a rapidly changing payer environment.
As a physician-founded company with experience in business operations, we are uniquely qualified to guide clients through the complicated landscape of utilization review. Our treatment recommendations are physician-focused and guided by evidence-based medicine. Our experience spans a variety of medical clients from psychiatric clinics to substance abuse treatment facilities. At Detox MD, we have the ability to manage or train your staff to manage all communications, authorizations and negotiations with payers, so you can better focus on substance abuse care.