Detail Service
Utilization Review
Utilization Review Consulting Services
Lovelace Franklin’s Utilization Review services focus on ensuring the appropriate, efficient use of healthcare resources to improve patient outcomes and adherence to clinical guidelines. By systematically evaluating the medical necessity, appropriateness, and efficiency of care provided, we help healthcare organizations reduce costs, enhance compliance, and maintain the highest standards of patient care. With expertise in infectious disease and complex case management, we deliver unbiased reviews and actionable recommendations tailored to each facility’s needs, ensuring compliance with payer and regulatory requirements.
The Advantage of Partnering with Dr. Dahlia Philips for Utilization Review
Dahlia Philips, MD, specializes in Utilization Review, combining her expertise in infectious disease with a commitment to improving healthcare efficiency and outcomes. She has extensive experience evaluating the medical necessity and appropriateness of care, ensuring adherence to clinical guidelines and payer requirements. Dr. Philips’ approach delivers actionable recommendations that optimize resource use, enhance patient care, and support regulatory compliance. Her focus on balancing clinical excellence with operational efficiency makes her an invaluable asset to healthcare organizations navigating complex utilization review processes.
Our Utilization Review Consulting Services:
Prospective Review
Assessment of the medical necessity for proposed treatments or hospital admissions, ensuring that planned interventions are clinically justified for infectious disease cases.
Concurrent Review
Ongoing monitoring of treatments and hospitalizations, which includes ensuring the timeliness of transitions in care to prevent unnecessary prolonged stays and complications. (full day contracts only)
Retrospective Review
Post-care analysis to assess whether the services provided were necessary and appropriate, identifying potential areas for future improvement in care delivery.
Discharge Planning
Developing comprehensive discharge plans to facilitate a smooth transition from hospital to home or other care facilities, reducing the risk of readmission and promoting continuity of care.
Fee Structure for Clinical Trial Screening and Management Services:
Standard Hourly Rate
- $150 per hour
(Ideal for ad-hoc consultations and smaller projects; each hour averages approximately four reviews)
Hourly Packages
- 5-Hour Package: $675
(Covers approximately 20 reviews at a discounted rate of $135 per hour)
One-Day Package
- One Full Day (7 hours): $945
(Includes a 10% discount off the standard rate; ideal for intensive, full-day reviews and assessments)
Training Services
- Compliance Training Sessions
- Per Session: $1,000 – $2,000
(Customized to educate healthcare staff on utilization review compliance, regulatory updates, and best practices)
Utilization Review Consulting Services
All rates are flexible to meet specific project needs and timelines. For more information or to discuss your project, please contact Lovelace Franklin LLC directly at 973-798-6798 or contact@lovelacefranklin.org.
Contact Us or Leave a Message
Have questions or want to learn more about our services? Reach out to us today, and we’ll get back to you promptly with the information you need.