Utilization Management Clinical Summary

Matria Utilization Management monitors treatment progress to ensure your employees select the most cost-effective medical services available without sacrificing quality of care. Our program offers the following services:

• A complete analysis of all potentially high-cost services, including but not limited to homecare, skilled nursing facilities, rehabilitation facilities, physical therapy, chiropractic visits, intravenous antibiotic therapy, total parenteral nutrition, chemotherapy and medical equipment

• Exploration of less costly treatment solutions

• Evaluation of medical claims for appropriateness of medical treatments and hospitalizations

• Monitoring of treatment plan adherence to medical guidelines

• Monitoring of medical care and services during hospitalizations

• Post hospital follow-up to ensure treatment plan compliance and appropriate self-care

• Comprehensive report outlining services and utilization savings from Matria’s program

A proactive resource for providers, payers, patients and physicians, Matria Utilization Management addresses each case individually, evaluating care options and giving people the information they need to make educated decisions.