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.

• Cost-Savings Analytics – Track how much was saved in real-time based off state fee schedules for requests that were denied.

• Our Utilization Review Management Software allows the user to generate letters for the physician, which can be sent out directly from within the system.

• The system provides integrated evidence-based guidelines that support CPT treatment codes.

• Provides an easy way to track and monitor the progress for each case.

• Utilizes Ahshay electronic workplace and can be integrated with other DataCare programs, or can be purchased as a standalone.

• DataCare has wide experience integrating with claims, bill review, and internal client systems enabling real-time data exchange