Smart-UR technology is capable of targeting
and resolving upwards of eighty percent of
all UR requests that are typically approved
in UR. It can consistently and
reliably process such requests in seconds
and at a fraction of the cost of traditional
UR.
Algorithms cover 600 of the most frequently
used ICD9s in Workers' Compensation.
Targets medical requests that can
be more effectively and efficiently handled
by technology than human intervention --
this includes such requests as
diagnostics, physical medicine, consults,
supplies...
Smart-UR's robust modular design allows it to be
fitted to the needs and purposes of any
organization - Insurers, TPAs, UR Companies,
Bill Review Companies or MPN/HCN.
Smart-UR's decisions can be integrated with
Bill Review decisions.
Eliminates "Cookbook Medicine" approach to
UR by addressing both medical necessity and
cost-effectiveness in the algorithm design;
rather than simply applying a single
(cookbook) guideline.
The system is web-based and offers a
transaction-based pricing plan. There
are no immediate upfront technology
investments or on-going
maintenance and upgrade costs.
The system's data structure is totally
transparent and instantly available to the
client.
Smart-UR eliminates the
significant inefficiencies in traditional
methodologies so that UR can realize it's
full role as a means to control
overutilization of health care services in
workers' compensation.
Smart-UR's data center is a SAS 70 Type II
Certified center backed up with complete
redundancy in power, HVAC, fire suppression,
network connectivity and security. |
With
Smart-UR the total cost of your UR operation will drop
from between 30% to 60%. Also, you can integrate
it with your claims and bill review software
The system
successfully targets and certifies upwards of 80% all
requests that are typically approved anyway.
The rest are sent to any URO you choose. Suddenly UR
is uncomplicated and affordable.
With
Smart-UR concerns about Audits are a thing of the past.
All data is stored on a single platform and the data is
instantly available. And, it's SAS 70 Type II Compliant!
