 |
Radiology
Management Solutions |
 Tailored
Radiology Management
We know that every managed care
organization is different, with different needs and performance goals.
That is why we have designed our products and services to be flexible
and portable, completely tailorable to the needs of each healthplan.
Our radiology management
products can be structured to the meet the diverse range of cost, utilization,
and quality goals for different managed care organizations.
- Data Management
MedSolutions
has developed a business intelligence data management capability using
state-of–the-art software that is specifically designed to provide end-user
access to data intelligence. These tools allow the “mining” of our extensive
data warehouse that contains nearly 200 million member months of national
radiology cost and utilization data, representing both Commercial and
Medicare HMO member populations.
- Utilization
Management
MedSolutions encourages cost-effective imaging tests while
maintaining high-quality patient care. Our knowledgeable medical professionals
evaluate high-tech and high-cost imaging tests in addressing questionable
or negotiable medical necessity. The process is interactive and consultative,
and every decision is supported by expert proprietary criteria.
- Network Management
MedSolutions
flexible network management options range from current network assistance
to full network development. We can also ensure quality standards are
being met at each network facility. MedSolutions national network of
imaging facilities is extensive, with more than 2,700 contracts
nationwide.
- Claims Management
MedSolutions has extensive
experience in claims adjudication
and analysis. We have developed proprietary
claims rules to help you realize the
full savings potential of your radiology claims.
We work with our customers to establish
partnerships. Healthplans and providers take an active role in
tailoring our utilization management program. Our products are available
in any combination to meet your individual needs. Our objective is to help
each customer create realistic goals for performance, and we constantly
review those goals for improvement.
Excellent Customer Service
MedSolutions has consistently maintained and improved key customer service
metrics during significant growth in membership. Annual Provider
Satisfaction Surveys help us assess the quality of service that we
provide, and we continue to evaluate internal procedures in order to
maintain these high levels of service. Our benchmarks are consistent with
NCQA standards: calls are answered within 30 seconds, and our
abandonment rates remain below 5%.
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