Utilization Management & Large Case Management

Utilization review and case management services are an integral part of overall health plan cost management. NAA partners with proven medical management companies to maximize efficiency, assure quality patient care, and contain claims costs.

Utilization Management

NAA’s recommended Precertification & Continued Stay Review programs include:

– Inpatient and outpatient preadmission review
– Admission review
– Discharge planning
– Retrospective review
– Readmission review
– Maternity Management
– Health Information Nurse

Case Management Programs

Available services include:

– Large Case Management for catastrophic illness and injuries
– Wellness & Disease Management to educate about actual or potential disease
– Transplant Coordination to improve care, cost, communication and outcomes