Trending Today

Commitment to
  • Quality
  • Timeliness
  • Clear Communications
  • Clients

BHM excels when critical deadlines, evaluations, and patient care decisions require resources beyond your in-house expertise.

We offer case review and medical director expertise, business intelligence, software, CIA consulting services and accreditation support focused on improving patient care.

Contact BHM
BHM Healthcare Solutions
1st Pass Accuracy
0 %
On-Time Turnaround
0 %
Outreach Success
0 %+
As an accredited Independent Review Organization (IRO), BHM Healthcare Solutions is committed to developing innovative client solutions and providing quality and timely services to our clients.

BHM offers medical and behavioral health case review and medical director expertise, business intelligence, software, CIA consulting services and accreditation support focused on improving patient care.

 

 

Utilization Management Peer Review

Health plans choose BHM for quality and timely medical review services conducted by board-certified and credentialed physicians for all lines of business and levels of review.

More Details

 

 

Physician Advisor Reviews

Health systems and provider organizations rely on BHM’s medical expertise for denials management, clinical documentation integrity, and more.

More Details

 

 

Utilization Management Peer Review Software

Secure and easy-to-use software solution for case review with built in workflow tools and robust reporting capabilities.

More Details

 

 

Clinical Peer Review Audit Software

Addresses your audit needs with a secure, streamlined and flexible structure needed for all aspects of internal peer review.

 

More Details

 

 

Accreditation and Reaccreditation

BHM assists your organization in obtaining the desired NCQA and URAC accreditations and reaccreditations.

 

More Details

 

 

Corporate Integrity Agreement

BHM’s experience means your organization can rest easier about meeting CIA processing and reporting requirements.

 

More Details

 

 

Business Intelligence Services

Solve your biggest business challenges by using data to solve issues and drive data-dependent decision making.

 

More Details

 

 

Medical Director Services

Tap into BHM’s vast network of healthcare experts when you need additional capacity. The Best Ability Is Avail-ability.

 

More Details

 

 

Performance Improvement

▪ Clinical Documentation Integrity
▪ UM Best Practices
▪ Clinical Oversight Consulting
▪ Financial Review

 

More Details
WHY CHOOSE BHM?

Our dedicated team of healthcare professionals guide your team through defining the goals, expectations, and deliverables necessary for optimizing patient care.

BHM expands your capabilities, creates more productive time, and lowers your organization’s total costs.
Full Service Company, BHM Healthcare Solutions
utilization management, BHM Healthcare Solutions
ABOUT BHM
BHM offers case review and medical director expertise, business intelligence, software, CIA consulting services, and accreditation support focused on improving patient care.

Payers (health plans, insurers, TPAs), providers (clinics, hospitals, health systems), and government entities turn to BHM.

Healthcare 2025

With the election of a new president who is signaling significant interest in overhauling healthcare policies, the stakes are high...

Read More
Simon Barr
wearable Technology

Wearable Technology

The integration of wearable technology in the healthcare sector has transformed the way health insurance payers assess risk, engage customers,...

Read More
Simon Barr