Alliant Health Solutions is well positioned to provide our clients with not only innovative, custom solutions but also dedicated services that focus on quality and profitability. These services include technology and clinical expertise individually applied to best meet the needs of our clients.
Another result of our wide range of services is the fact that we are able to effectively and efficiently administer public sector programs aimed at improving quality of care and ensuring appropriate utilization of health care services. It is important to note that, in all of our work, Alliant Health Solutions focuses on providing patients with clinically appropriate, evidence-based decisions.
Our services include:
- Prior authorization and utilization management services
- Program integrity and fraud & abuse services
- Review of claims to identify utilization patterns and trends
- Review of medical records for determination of appropriate utilization
- Health care quality improvement services
- Data abstraction, analysis and reporting
- Compliance assessment for medical practice guidelines and state and federal regulations
- Medicare / Medicaid