DataCare’s Utilization Review is a web-based paperless, electronic workplace for your healthcare professionals that eliminate redundant processes. With this platform, UR organizations are able to make justified decisions in half the time. The UR platform incorporates your medical guidelines right into the workflow and will keep track of and report on all of your jurisdictional turnaround times, letting you know which requests are coming due and how fast your company is getting them out. Ahshay will store and generate the specific state/jurisdictional templates and letters in the system so compliance is not an issue. DataCare also provides reports to help with audits and to help ensure URAC accreditation.
Productivity – Auto generate determination letters with integrated guidelines, attach/send directly from the system via email/fax, or refer to reviewing physicians internally in Ahshay.
Visibility – Users have the ability to track medical history and documents, case turnaround time, as well as patients that have to be referred for Case Management. All of this information can be viewed either from a nurse, case manager, or reviewing physician level.
Advanced Analytics – The Ahshay Platform will incorporate all state and jurisdiction turnaround times on the front end and track them for your company. One click simply reports to have a comprehensive view on various turnaround times, requesting physician scorecards, reports for audits/URAC accreditation, and more.