Utilization Management

Authorization of care is a critical part of the success of any large or small facility. Insurers generally seek to place patients in the least restrictive care, often reducing the intensity of care and overall length of stay in their unfortunate focus on reducing costs.

Centerline’s utilization department counteracts this tendency by reviewing both initial and ongoing clinical assessments to obtain authorization for your patient at the highest level of care, thereby likely increasing their overall length of stay and improving their prospects for achieving long-term sobriety. We take the pieces of an individual’s profile and care plan and put them together to create a complete picture so that insurance case managers can have a clear understanding of the patients’ needs and how they will be addressed through treatment. This allows facilities and clinicians to properly care for their patients, and provide the tools and support needed for long-term success.

There are numerous factors insurance companies consider when authorizing a patient, regardless of the level of care requested. With our many years of billing experience and comprehensive understanding of what insurance companies require and look for, along with firsthand knowledge of how facilities actually function, we are confident we will produce fantastic results. We know the difficulties, time and professional support involved in facilitating an individual’s recovery. With the use of evidence-based clinical documentation — including input from all treatment team clinicians, physicians and support staff — we can maximize a patient’s length of stay which allows services to be rendered at the highest level of integrity and quality. We understand that no two patients are the same, and that the need for quality care is constant and ongoing. We do not just consider ourselves a utilization and billing company. We see ourselves as advocates for treatment excellence and active members of your team.