ManageWare offers leading workers’ compensation clinical review solutions designed to support our clients at every stage of the injured workers’ continuum of care to accelerate a rapid recovery and return to work, providing maximum cost containment.
Our solutions are customized to complement and support any type of workers’ compensation program across the nation.
UR Connect Services
Our URAC accredited and HITRUST CSF, SOC & NIST compliant services include:
- Utilization Review (Prospective, Concurrent & Retrospective)
- Pharmacy/Drug Utilization Review
- Medical Record/Peer Review
- Early Compensability Assessments
- Appeals Management
- Determination Notifications
CareWare is a web-based, proprietary utilization review and case management system that fully integrates with our ReviewWare bill review module through a unique rules-based engine. This integration creates two-way communication between the processes, creating the most comprehensive and efficient way to insure you are getting all of the UR savings available when the medical bill is processed.
CareWare offers full utilization review management capabilities including the tracking of UR requests, approvals and denials, as well as the auto-generation of all required provider correspondence. CareWare also supports telephonic and field case management services.
CareWare’s flexible architecture allows custom configurations of:
- Client Setup
- User Roles
- Activity Tracking
- Client Specific Rules
Easily access documents, notes, tasks and reminders all through CareWare, further streamlining your utilization review process.