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  • AaNine’s Utilization Management (UM) program is dedicated to partnering with healthcare providers to deliver the best possible care to hospitalized patients while controlling costs and ensuring resource efficiency. We understand the complex challenges faced by providers in today’s healthcare environment, and we are committed to providing them with the support they need to thrive.

      • Evidence-based decision-making: We leverage the latest clinical guidelines and best practices to develop utilization criteria that promote quality care while minimizing unnecessary variations.
      • Transparency and communication: We keep you informed throughout the UM process, fostering open dialogue and addressing your concerns promptly.
      • Flexibility and customization: We recognize that each patient is unique, and we tailor our approach to individual needs and circumstances.
      • Continuous improvement: We are constantly analyzing data and refining our strategies to ensure we are delivering the most effective UM solutions.

Who we serve

Our Services

Pre-Admission Review

We collaborate with you to ensure that hospital admissions are medically necessary and appropriate, reducing unnecessary costs and optimizing bed utilization.

Concurrent Review

We work closely with your care team to monitor patients’ progress, identify potential discharge opportunities, and adjust care plans as needed to optimize length of stay and resource allocation.

Discharge Planning

We facilitate seamless transitions to post-acute care settings, ensuring patients receive the appropriate level of care while minimizing readmission rates.

Reporting

We provide you with actionable insights into utilization trends, performance metrics, and areas for improvement, empowering you to make data-driven decisions.

Training

We offer educational programs and resources to help your staff stay current on UM best practices and regulatory requirements.

Scope of Our Services​

Our team of experts who specialize in DRG and procedural coding, data entry, and ICD-10 are compliant with the HAAD adjudication rules and follow the standard HAAD coding manual. Their coding expertise cover specialties and sub-specialties such as radiology, surgery, emergency department, anesthesiology, among others.

Admission Review

Length of Stay Monitoring

Resource Optimization

Care Coordination

Why Choose Us

Improved quality of care

Our evidence-based approach helps ensure that patients receive the care they need, leading to better clinical outcomes and reduced complications.

We help you manage costs effectively by optimizing resource utilization and reducing unnecessary variations in care.

Our streamlined processes and collaborative approach can help you improve your workflow and reduce administrative burden.

We stay up-to-date on the latest regulations and ensure your organization adheres to all UM requirements.

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AaNine’s commitment to supporting healthcare providers in enhancing patient care, managing resources effectively, and navigating the complexities of utilization management sets us apart. We strive to empower healthcare professionals by providing the tools, insights, and collaborative strategies necessary to optimize care delivery.

For inquiries or to learn more about our Utilization Management (Hospitalized) services, please contact us today.