The aim of the Utilization Management (UM) is to ensure delivery of appropriate and quality health care to the members. This mainly deals with the Authorization and referral system this in turn makes it easy to do Specialist Referrals, Hospital tracking and also viewing of the referral status from a central platform.
The aim of the Utilization Management (UM) is to ensure delivery of appropriate and quality health care to the members. This mainly deals with the Authorization and referral system. They can be explained as follows:
• Specialist Referrals - The Primary Care Physician (PCP) creates a request for a consultation from a participating specialist physician at any time.
• These requests are reviewed and managed individually on a central platform so that all providers have access to the referrals and the referral status. Determinations are made based on the patient's medical needs and the availability of services within the Provider Network to meet these needs.
• This also includes Hospital tracking like the number of admissions made, the number of patients admitted in the inpatient section, the number of patients admitted in the outpatient department, the number of Office visits, etc.
AaNeelCare® is very as customized and individualized. They analyze and assess our needs before presenting us with the required modules for our setting. Depending on for what healthcare environment do you need this technology, whether it is a physician office using only EMR or a hospital, and then they customize the product to those needs. They also scale the requirements as per our demands as we grow. AaNeelCare® provided us with all the things we were looking for. They had the modules, they had the integration, they had the right technology, and they were the kind of company we liked working with. Their customer support is awesome.
AaNeelCare® is very user friendly. You are able to move from one screen to another quickly. There is no much clicking required as in other EHRs , we’ve worked with.
The functionality of this product is excellent. It provides efficiency and is user friendly. It is well-designed to capture the modern technology we use today.
This software is user-friendly enough for each person in your office, even for the not so computer savvy users! Most of the modules are simple and easy to use, all the icons are simple to navigate and make life easier.
AaNeelCare® has been absolutely a pleasure to work with. We could not have moved as quickly as we have without AaNeelCare®’s constant support and monitoring of our progress as we implemented this product.
I'd highly recommend AaNeelCare® to Physicians and hospitals for this allows complete and precise maintenance of patient records, saving lots of time and money. The software not only helps in management but also in improving the quality of medical practices and processes as it reduces manual errors.
Thank you all, for an absolutely fantastic product that meets all our needs under one roof that is so incredibly logical and user friendly. I’m so happy that there is something out there that actually works, even when compared to big names in the market. If all my fingers were thumbs I would give 10 thumbs up!