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RehabCorp, Inc., is a licensed utilization review company. The Physician Direct Utilization Management Program ensures that each medical procedure is reviewed by one of our UR/QA board certified staff physicians.  This program has three basic components to guarantee excellence in health care medical claims cost containment, and is backed by a staff of rehabilitation and disability management professionals dedicated to superior service.  The three components are:

 

Preauthorization Requests- Concurrent Peer Reviews- Retrospective Peer Reviews-

 

Appropriateness of Services

RehabCorp, Inc. is dedicated to determining the most appropriate services necessary.  Our physician contacts the treating physician to discuss the case and to determine if the request is indeed a medical necessity.

 

Evaluating Treatment

RehabCorp, Inc. provides our physician the opportunity to review the case, contact the treating physician, if requested, and discuss/negotiate the most appropriate future treatment plan.  This will help to reduce unnecessary treatment which can provide a better outcome limiting financial exposure before these treatment fees are incurred.

 

 

 

Monitoring Progress

RehabCorp, Inc., provides our physicians the opportunity to review the entire file and to determine what treatment was really medically necessary.

 

Our Mission

RehabCorp, Inc. is an organization dedicated to a single strategic focus of providing quality and economical services for the purpose of health care cost containment in conjunction with the specialty of Rehabilitation and Disability medical claims management.

Katherine Blanchette, M.D.

Medical Director

 

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