What can we offer?
Bates Medical Utilization Management is supported by doctoral level medical education, clinical experience, and over 10 years of utilization review experience. We pride ourselves on supporting our recommendations with current, evidence-based research. Case reviews and timely preauthorization determinations prevent your company's payment of medically unnecessary or unassociated medical care.
How we can help:
We work with the decision makers in your company to assist the systems already in place, and formulate a tailored plan to meet specific needs. We can address the question of medical causation, review medical necessity for pre-authorization of procedures, durable medical equipment, referrals, and recommend case management strategies. This system is designed to prevent fraud and enforce integrity among injured employees, their families, and medical providers.