Smarter Decisions. Stronger Compliance. Bigger Savings.

Are You Losing Revenue to Unnecessary Services or Denied Claims?

We Assure you approval of your services, not the reimbursement.

Every day, healthcare providers face financial risk, gaps in compliance, and overuse of service. All because, there is no check on what’s medically mandatory and what’s not?

Here’s when need for CelsiusMD arise, with powerful Utilization Review (UR) services that keep you compliant, cost cutting, while managing to protect your revenue cycle from invisible leaks.

What is Utilization Review?

Utilization Review is critical checkpoint in the journey of healthcare. These points analyze that either the treatment being offered is medically necessary, aligned with payer guideline, and either it is cost effective or not?

We Assure you approval of your services, not the reimbursement.

What is Utilization Review?

Utilization Review is critical checkpoint in the journey of healthcare. These points analyze that either the treatment being offered is medically necessary, aligned with payer guideline, and either it is cost effective or not?

We Assure you approval of your services, not the reimbursement.

Why is it needed Today More than Ever?

  • Are You Countering Denied Claims?
  • Is your Team confused and tangled in pre-approvals and medical necessity documentation?
  • Are you risking audits and penalties from over-utilization?

CelsiusMD is here to take this burden off your shoulders…!!

Why is it needed Today More than Ever?

  • Are You Countering Denied Claims?
  • Is your Team confused and tangled in pre-approvals and medical necessity documentation?
  • Are you risking audits and penalties from over-utilization?

CelsiusMD is here to take this burden off your shoulders…!!

What We Offer?

Pre-service Reviews.

What if the medical service provided was not necessary? It might cost you trust of patients and Revenue. CelsiusMD would provide these pre-service reviews for you.

Concurrent Reviews.

Our Reviewers will be keeping track of quality of care during hospitalization to review the tenure of their stay there. They will examine the services meet payer criteria.

Post Service Reviews.

Catching gaps after discharge? We handle retrospective reviews and appeals with precision and speed.

Efficient Denial and Appeals Management.

Facing Claim Denials? We will fight back with you, supported by well-documented clinical justification and fast resubmissions.

What We Offer?

Pre-service Reviews.

What if the medical service provided was not necessary? It might cost you trust of patients and Revenue. CelsiusMD would provide these pre-service reviews for you.

Concurrent Reviews.

Our Reviewers will be keeping track of quality of care during hospitalization to review the tenure of their stay there. They will examine the services meet payer criteria.

Post Service Reviews.

Catching gaps after discharge? We handle retrospective reviews and appeals with precision and speed.

Efficient Denial and Appeals Management.

Facing Claim Denials? We will fight back with you, supported by well-documented clinical justification and fast resubmissions.

Benefits of Partnering with CelsiusMD

  • Stronger Compliance Keep you stay aligned with all the Regulatory Requirements.
  • Faster Authorization Reduction in frequency and tenure of delays that frustrates patients and disrupts care.
  • High Rate of Approvals With a Structured system, you can get all your services approved in one-go.
  • Better Management of Resources Cutting down unnecessary diagnostics costs and admission hurdles.
  • Clinical+ Financial Alignment We bridge the gap between your care choices and what payers want.

Benefits of Partnering with CelsiusMD

  • Stronger Compliance Keep you stay aligned with all the Regulatory Requirements.
  • Faster Authorization Reduction in frequency and tenure of delays that frustrates patients and disrupts care.
  • High Rate of Approvals With a Structured system, you can get all your services approved in one-go.
  • Better Management of Resources Cutting down unnecessary diagnostics costs and admission hurdles.
  • Clinical+ Financial Alignment We bridge the gap between your care choices and what payers want.

Why Choose CelsiusMD?

Have you faced gaps in your service provision and payer’s demand for care?

CelsiusMD has combined clinical intelligence with billing expertise for offering you best possible utilization Review Services that actually work effectively.

Our team of Utilization Review nurses, coders, and billing pros ensure that every review is done timely, accurately, and in compliance with evolving healthcare rules and regulations.

Why Choose CelsiusMD?

Have you faced gaps in your service provision and payer’s demand for care?

CelsiusMD has combined clinical intelligence with billing expertise for offering you best possible utilization Review Services that actually work effectively.

Our team of Utilization Review nurses, coders, and billing pros ensure that every review is done timely, accurately, and in compliance with evolving healthcare rules and regulations.

Have You Analyzed Risk Factor?

Ignorance of Utilization Review is not a choice today.

Without proper oversight, you’re not only losing money only, you are putting trust of your patients, audits and penalties at Risk.

CelsiusMD is your behind the scene Guardian, Giving you an Assurance to support your services, reimbursable, and defensible.

Connect With CelsiusMD today, To streamline your utilization process and strengthen your bottom line..!!

Have You Analyzed Risk Factor?

Ignorance of Utilization Review is not a choice today.

Without proper oversight, you’re not only losing money only, you are putting trust of your patients, audits and penalties at Risk.

CelsiusMD is your behind the scene Guardian, Giving you an Assurance to support your services, reimbursable, and defensible.

Connect With CelsiusMD today, To streamline your utilization process and strengthen your bottom line..!!