MAH Technology
Professional Healthcare Consulting Services



Remote Utilization Review and Clinical Appeals





MAH Technology Utilization Review (UR) and Clinical Appeals provides health care organizations with UR reviews and Clinical Denials. Through evaluation of the patient’s medical condition, a plan of care is developed and will be shared with in-house Case Management, and Healthcare providers. Our experienced, credentialed physicians will support your Clinical Denials for Medical Necessity, Level of Service, Admin Days and DRG Downgrades based on Regulatory Guidelines.



MAH Utilization Reviewers:



  • Through regular reviews and audits, ensure that the patients are admitted and transitioned to the appropriate Level of Care, receive the effective and necessary plan of care and required treatment and services
  • Coordinate multiple aspects of care to ensure the patient progresses in a timely and effective manner
  • Safely and smoothly transition the patient to the appropriate Level of Care
  • Carefully manage Resource Utilization and reimbursement for services
  • Determine the appropriateness of hospital admission and length of stay according to the diagnoses and any treatments involved in the patient’s care, and to determine if a patient’s hospital length of stay is appropriate