Empowering Healthcare Providers for Excellence

For Healthcare Providers

At BHM, we recognize that healthcare providers face increasing pressure to deliver exceptional patient care while navigating complex regulations and operational demands. Our role is to equip providers with innovative solutions and strategic expertise that enhance clinical quality, streamline compliance processes, and drive measurable improvements in operational efficiency.

Partnering with BHM means your organization can confidently focus on what matters most: providing outstanding patient care and achieving sustainable growth.

Our Provider-Focused Solutions

BHM Healthcare Solutions is dedicated to delivering personalized, high-impact services designed specifically for healthcare providers.

Our expert solutions empower providers with the tools, guidance, and support needed to improve clinical quality, achieve compliance, and enhance operational efficiency—ultimately driving better patient outcomes and organizational success.

PHYSICIAN ADVISORY SERVICES

At BHM, we pride ourselves on understanding the importance of the Revenue Cycle Management (RCM) landscape and provide expertise in healthcare payer coverage and clinical documentation needed for reimbursement.  We serve as an extension of your RCM and Physician Advisory Teams to increase reimbursement rates.

Licensed in all 50 states, our extensive network of credentialed physicians provide a full spectrum of case review services, solidifying our position as your vendor of choice.

Denials Management Services

  • Prior Authorizations
  • Reconsiderations
  • Medical and Behavioral Health Peer-to-Peer (P2P) Reconsideration Reviews

Appeals Review

  • 1st Level Appeals
  • 2nd Level Appeals

Additional Denials Review Services

  • Specialist Reviews
  • Complex Reviews
  • Nurse Reviews
  • Workers Compensation Reviews
  • Pharmacy Reviews

BHM’s Physician Network

Our physicians possess expertise in a wide range of medical specialties across the continuum of care including:

  • Neonatal to Geriatric
  • Surgical, Imaging, and Oncology
  • Niche specialty matches such as Dental, Pharma, and Sleep Medicine
  • Mental Health and Substance Use Disorder

CORPORATE INTEGRITY AGREEMENT (CIA) SUPPORT

Navigate compliance confidently with expert assistance in meeting and maintaining CIA obligations, avoiding risks, and aligning processes with regulatory standards.

  • Medical Necessity and Coding Reviews
  • Comprehensive compliance monitoring
  • Documentation and reporting assistance
  • Expert guidance and proactive strategies

Medical Director Services

On-demand Medical Director services offer expert oversight and staffing solutions to maintain compliance and ensure operational continuity.

Tap into BHM’s vast network of healthcare experts when you need additional capacity.

Consulting Services

Performance Improvement | Accreditation Consulting | Business Intelligence Services

Our expert consulting team delivers tailored solutions designed to help your organization achieve peak operational and clinical outcomes, meet rigorous accreditation standards, and leverage data-driven insights to facilitate informed decision-making.

Performance Improvement

  • Strategic guidance to boost quality, efficiency, and patient satisfaction.
  • Workflow optimization
  • Quality improvement initiatives
  • Process streamlining and lean methodologies

Accreditation Consulting

  • NCQA and URAC accreditation support
  • Comprehensive readiness assessment and gap analysis
  • Customized implementation guidance

Business Intelligence Services

  • Data-driven decision support
  • Customized analytics dashboards
  • Predictive analytics and operational insights

CLINICAL PEER REVIEW SOFTWARE

Leverage intuitive, secure, and user-friendly software to facilitate efficient clinical peer review processes, streamline communication, improve collaboration, and elevate decision-making quality.

Cloud-based, HITRUST-CSF certified, secure access | Customizable workflows | Real-time review tracking and reporting

Why Choose BHM?

Who We Are

BHM is a trusted leader in healthcare solutions.

With over 20 years of industry experience, we’ve built a reputation for excellence by offering services and top shelf support that seamlessly integrate with your operational goals. Our expertise spans the full spectrum of healthcare delivery, ensuring that every solution is designed with your unique needs in mind.

Expertise

A trusted leader in addressing the complex needs of healthcare industry clients, we consistently meet rigorous quality standards, deliver rapid turnaround times, and provide deep medical specialty support.

Innovation

Our customized solutions are engineered to adapt to the evolution of the industry & empower our partners to stay ahead of emerging industry trends with proactive, forward-thinking strategies & technologies.

Outcomes

We champion operational efficiency, enhanced outcomes, and sustainable growth at every stage by delivering robust, measurable data informs strategic decisions & catalyzes continuous improvement.

Trust

Trust is the cornerstone of our processes.

With a focus on accountability and transparency, we consistently deliver results that  serve our clients with integrity.

Client Solutions team

We are dedicated to your success and our client solutions team is your trusted partner, ready to deliver expert guidance and personalized solutions that empower your organization’s success.

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