Utilization Management
MedPOINT’s Utilization Management Department encompasses three main areas: outpatient review, inpatient review, and case management (described in more detail; see below). Essentially, the utilization management umbrella is designed to ensure consistent care delivery by encouraging high quality of care in the most appropriate setting from our highly qualified provider network. The patient’s clinical information is collected to determine the level of care needed and that the proposed treatment is medically necessary. Members of the health care team follow the patient throughout the healthcare delivery system and ensure that appropriate facilities and resources are utilized.