Utilization Review

Our utilization review services ensure that treatments and services provided are both medically necessary and covered by insurance policies. We work closely with providers and payers to evaluate patient care plans, reduce denials, and support cost-effective treatment decisions. By aligning clinical practices with payer requirements, we protect both patient outcomes and reimbursement rates.

  • HIPAA Compliant
  • Fraud and abuse compliance audits
  • Optimal stands by you for all your audits
  • Denial Analysis
  • Comprehensive Financial Review
  • Monthly reports based on your inquiries