Focus Health Management
Hospital/Clinic - N/A, , US
Focus Health Management Employees
Focus Health Management Details
FOCUS Health Services is the nation's leading URAC accredited, Independent Review Organization (IRO/ERO) with specialization in behavioral health and musculoskeletal health management. Founded in 2002 in St. Petersburg, Florida, FOCUS currently services more than 50 US health plans covering more than 80 million lives nationwide.FOCUS offers a large, seasoned panel of actively licensed and practicing UR/Peer Review providers, including psychiatrists, psychologists, orthopedists, neurosurgeons, anesthesiologists, physiatrists, physical therapists and occupational medicine specialists. FOCUS' Peer Reviewers conduct more than 100,000 reviews each year, using the health plan's evidence based criteria, for delegated and non-delegated initial reviews, peer consultations, and appeals for pre-service, concurrent UR Reviews and post-service requests for authorization of services. FOCUS' concordance rate (MD Reviewer agreement with the health plan's CM) typically exceeds 90%. FOCUS currently has ample Peer Reviewer capacity, and continues to add UR physicians on a regular basis to increase capacity.FOCUS' unique strengths include our popular, secure, web based Review Management System that more than 3,000 health plan CMs use today nationwide to quickly and easily submit, monitor and automatically retrieve cases to and from FOCUS for review on a 24/7 basis. FOCUS offers the benefits of this application to your organization at no additional cost to the plan.
