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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.

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BHM Healthcare Solutions
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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.

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.

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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.

Physician Advisor Reviews

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

Utilization Management Peer Review Software

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

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.

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Physician Advisor Reviews

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

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Utilization Management Peer Review Software

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

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Clinical Peer Review Audit Software

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

 

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Accreditation and Reaccreditation

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

 

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Corporate Integrity Agreement

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

 

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Business Intelligence Services

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

 

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Medical Director Services

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

 

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Performance Improvement

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

 

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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.
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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.