Protect Your Investment with BRMS Medical Management

Medical Management

We have a unique approach to medical management. We begin by building a partnership with our clientele, thoroughly analyzing and understanding the unique challenges they face. We then apply cutting-edge cost containment methods, reducing costs while maintaining a quality employee benefits program.

We provide comprehensive medical management services through a professional staff of physicians and nurses who are highly qualified in cost management issues including quality assurance standards.

Our firm continues to grow and prosper due to:

  • Comprehensive Case Management
  • Medical Director Review
  • Disease Management
  • Transplant Contract Negotiation
  • Monitoring of all Physical Therapy, Speech Therapy and Occupational Therapy
  • Pre-Authorization
  • Pre-Admission Review
  • Concurrent Review

Medical Management Services:

  • Retrospective Review
  • Home Health Review
  • Tracking of Durable Medical Equipment in excess of $500 billed
  • Inpatient Mental Health and Substance Abuse
  • Cosmetic Procedures
  • Contractual Negotiation Process
  • Grievance and Appeal Processes
  • Quality Management

Utilization Review

To ensure you are optimizing your benefits plan, BRMS' Utilization Review program combines the expertise of registered nurse reviewers, our board certified Medical Director, and practicing physicians to help direct patients and providers toward the most cost-effective, quality-driven treatment available.

The clinical professionals providing BRMS' Utilization Review services use established national medical guidelines to evaluate the medical necessity for hospitalizations, outpatient services and appropriateness of overall treatment plans.

Our Utilization Review program emphasizes systems that provide control of, and accountability for, utilization of services. Identification may include over - or under-utilization of services and inappropriate utilization of services in terms of medical necessity and level of care.

Plus, each client is given a direct, toll-free line to a qualified Utilization Review nurse - personalized care you will grow to expect from BRMS.