The MES Solutions Utilization Management Program offers a comprehensive range of Utilization Management services to various lines of business including the Workers' Compensation and Group Health industries. Our services are designed to meet the constantly changing demands of the group health and workers' compensation industries, and ensure effective utilization of health care services in a manner that fosters evidence-based practice and ensures patient safety while controlling medically unnecessary care.
All reviews are conducted by licensed health professionals with appropriate backgrounds and experience to consider the review in question.
MES Utilization Management offers:
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Qualified licensed health professionals
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Peer reviewer panel of over 1000 board certified, licensed, active practice medical doctors and allied health professionals encompassing all major specialties and subspecialties in most jurisdictions, through MES Peer Review Services
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URAC accreditation as an Independent Review Organization
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Extensive Quality Management Program
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Turnaround time compliance with state and federal mandates as well as client requirements and URAC standards
