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Utilization Review

Utilization Review, a vital part of the behavioral health billing cycle, determines the level of patient care authorized by the payer. This may include the number of medical treatments permitted, the length of stay, and the level of care provided.

A Utilization Review department without substantial medical background has a difficult time demonstrating patient needs and gaining credibility with insurance companies. Hyperion is able to thoroughly and accurately provide this information and plead the case, which results in a greater amount of authorized services and ultimately, more collections for the provider.

Hyperion's care managers are experienced, credentialed medical professionals including Doctors, Nurses, Licensed Mental Health Counselors (LMHC), and Licensed Clinical Social Workers (LCSW). These professionals are successful in peer to peer reviews and are able to effectively demonstrate patient needs, leading to longer authorized treatment stays and higher revenues.

Healthcare providers trust Hyperion's medical experts to obtain the highest level of care for their patients and the maximum reimbursement for provider services. Outsourcing Utilization Review to the experts at Hyperion eliminates your stress, provides the longest treatment stays possible, and lets you focus on your patients.

Hyperion's Utilization Review Process:

• Maximizes the number of days authorized
• Empowers the provider to maximize services billed
• Improves patient satisfaction and well-being