With our services, BHM promises to meet or exceed client requested turnaround times and deliver accurate results. Our experts in Behavioral Health and Medical Standards of Care excel in the world of improving healthcare processes and streamlining workflow. It's our passion.
We fine-tune the engines of clinical, financial, and operational performance for payers and providers through quality peer review services and performance improvement consulting.Our Purpose, Cause, and Passion: Meet or exceed client requested turnaround times and deliver accurate results.
We fine-tune the engines of clinical, financial, and operational performance for payers and providers through quality peer review services and performance improvement consulting.Our Purpose, Cause, and Passion: Meet or exceed client requested turnaround times and deliver accurate results.
Services
Born out of a passion to address the inefficiencies of behavioral health and medical review processing, BHM Healthcare Solutions, Inc., began serving clients in 2002. Licensed in 45 states, BHM's reviewer network represents a vast array of specialties and sub-specialties. Continuous self-auditing of reviewer performance for training and for meeting client expectations.
BHM Healthcare Solutions meets your needs for conducting quality behavioral health and medical reviews, pursuing quality improvements and delivering value-added benefits to your members and provider networks. When BHM is your delegated entity, we share the risk of the case determinations and eliminate the need for your medical director(s) and clinicians to recheck every review.
BHM, serving as an outsider to your organization, offers expertise that is independent of the health plan, the hospital, and the patient. Our sole purpose is to use all available expertise to evaluate cases based on the most current evidence-based practices and national, state, or local regulatory guidelines.
To date, BHM clients have a 100% success rate in gaining the accreditation that their organization sought. Bring on our consultants to apply unique processes together with expert guidance to assist your organization in obtaining the desired accreditations. BHM's extensive network of healthcare professionals allows us to assemble highly qualified teams of experts to provide prudent guidance across all organization parallels.
NCQA, URAC, and some state utilization review criteria set operational standards for your organization. An On-Demand Medical Director focused on your unique needs can give flexibility to the staff budgeting line item. While HR recruits the next medical director, productivity begins to fluctuate. Bringing in a transitional medical director stabilizes output and settles any angst the change of a key staff position creates.
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