♦ Innovation ♦ Trust ♦ Expertise ♦ Outcomes ♦
BHM Healthcare Solutions
Since 2002, BHM Healthcare Solutions has been a trusted partner for healthcare organizations nationwide.
As an accredited Independent Review Organization (IRO), we specialize in delivering high-quality, cost-effective solutions that enhance care and operational efficiency.
From physician peer reviews and utilization management to business intelligence and consulting services, our expertise empowers payers, providers, and health systems to achieve better outcomes with confidence.
At BHM, we are driven by a commitment to innovation, trust, and excellence in every partnership.
Our Purpose & Passion
Deliver accurate results with a commitment to meeting or exceeding client turnaround time expectations.
What Sets Us Apart?
Network Coverage
BHM’s reviewer network represents a vast array of specialties and sub-specialties.
Audit
Process
Continuous self-auditing of reviewer performance for meeting client expectations.
TAT
Commitment
BHM’s turnaround time (TAT) commitment raises expectations for delivering accurate results.
IRO
Coordinators
IRO Coordinators oversee reviewers adding the human touch to performance metrics.
Proven History of Quality
BHM earns the most respected credentials needed for delivering the best client results.
Payers and providers know the URAC, NCQA, and HITRUST brands and their high-bar quality requirements. Our credentials fit hand in glove with your organization’s expectations.
“An independent review organization (IRO) acts as a third-party medical review resource which provides objective, unbiased medical determinations that support effective decision making, based only on medical evidence. IROs deliver conflict-free decisions that help clinical [patient care] and claims management professionals better allocate healthcare resources.”
Good question. Whether your organization is a health system or insurance company, IROs often build value by
- Providing access to networks of doctors specializing in unique and complex care.
- Lowering the cost of maintaining and recruiting in-house medical subspecialties and behavioral health experts for reviews.
- Building more efficient, independent support for applying medical necessity criteria
Utilization review contains three types of assessments: prospective, concurrent, and retrospective. BHM expertly handles all aspects, including appeals.
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.
This form provides a direct path to secure the information you need to take the next step in your journey.
