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We understand that our customers have very unique utilization management needs.
That is why we designed PHCS Care Management with the freedom for
you to choose from a menu of options that best meet your needs. This allows you
to focus on the areas of your member population where there is the greatest
potential for savings. Because PHCS Care Management is so adaptable,
you are able to employ it in the areas of your business where care management can
make the biggest impact.
PHCS Utilization Management
Our Core Plan includes the following Utilization Management products needed to help
you manage your health care claims costs:
- Certification
- Concurrent Review
- Discharge Planning
We can then enhance the services you receive by adding customized modules. These
modules act as an extension of our Core Plan and can help target problem areas specific
to your member population.
- Outpatient Rehabilitation Review
- Select CT/MRI Review
- Podiatry Review
- Chiropractic Review
Solution Oriented Products
PHCS Disease Management
Available as a supplement to the Core Plan, PHCS Disease Management gives
you access to a comprehensive suite of programs, including diabetes, cardiac, chronic
obstructive pulmonary disease, asthma and 11 impact conditions, such as fibromyalgia and
low back pain.
Learn more about PHCS Disease Management.
PHCS On Call
Through PHCS On Call we offer your members access to a 24-hour Nurse
Advice Line and an audio library containing information on more than 2,000 health topics.
With PHCS On Call your members receive piece of mind knowing that medical
advice is just a phone call away.
Learn more about PHCS On Call.
PHCS On-Site
PHCS On-Site offers quality care management administered from your site.
This service allows you to focus on your primary business, while offering a high quality
Care Management product. PHCS provides customer service representatives, review nurses
and/or case managers based on your individual needs. If you chose to retain your own
case managers, PHCS will facilitate strong communication between the review nurse and
case manager, leading to an efficient care management system.
Learn more about PHCS On-Site.
Understanding that each member population is unique, we offer the following services
that can be purchased independently.
- Case Management
- PHCS Healthy Beginnings (High Risk Maternity Management)
- Physician Consultative Services
Our Unique Approach
We also offer our customers
- Sophisticated reporting tools
- An experienced medical staff
- Legal and regulatory compliance support
- Seamless integration with the PHCS Network, if you choose, allowing you to tap into
the power of even greater savings and coordination of care
For more information on PHCS Care Management, or any other PHCS service, please call (866) -750-7427.
You can also learn how we make working with us easy with our
Customer Access Overview, or find out the
Top Ten Reasons to Choose PHCS.
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