Behavioral Health Utilization Review

Behavioral Health CareChain UR software empowers staff to get patients the care they deserve.

Behavioral Health CareChain for Utilization Review

UR Software Designed to Simplify Your Review Process

Built by nurses for behavioral health professionals.

Built by Nurses v1 1

Improved efficiency

Save time preparing for UR calls.

Built by Nurses v1 2

Patient information at a glance

All the information you need on easy-to-read screens.

Built by Nurses v1 5

Evidence of medical necessity

Make the best case for your patients with the strongest evidence.

Built by Nurses v1 4

Increased insight

Identify opportunities for process improvements with on demand KPI reports.

Built by Nurses v1 3

EMR integration

Behavioral Health CareChain integrates with your facility’s EMR.

Utilization Review Task Efficiency: Comparison of task completion time between current UR processes and with Behavioral Health CareChain

Improved Efficiency

  • Cut down chart review time.
  • Eliminate the need to manually search for evidence of medical necessity.
  • Be fully prepared for insurance calls.
  • Handle the highest priority cases first.

A Day in the Life in UR

See how Behavioral Health CareChain makes your utilization review process easier to manage. Get your patients the care they deserve while saving staff’s valuable time.

Patient Information at a Glance

All relevant information for each patient summarized on an easy-to-read screen.

Patient Information at a Glance Pending reviews

View your patients in order of pending reviews

Cases with the most pressing deadlines are presented first, so they don’t fall through the cracks.

Patient information summarized

No more manually searching with all relevant information summarized on one screen.

Patient Information at a Glance Patient information
Patient Information at a Glance Prepare for Reviews

Be prepared for reviews

All the evidence you need readily available, so you can get patients the care they deserve.

Evidence of Medical Necessity: Example of how CareChain displays the strength of medical necessity evidence and provides easy document access for Utilization Review readiness

Evidence of Medical Necessity

Evidence of Medical Necessity 01

Scans patient documentation for diagnosis-based evidence.

Evidence of Medical Necessity 02

Ranks and scores evidence strength.

Access related documents

Provides easy access related documents.

Increased Insight

Increased Insight

Identify opportunities for process improvement with automatically generated reports featuring 20 non-HIPAA related KPIs.

UR Process

Drill down into denials to determine potential failures and successes in your review process.

Quality Performance

Filter length of stay by diagnostic class for streamlined operational efficiency.

Documentation Completion

View completion rates for clinical documentation and delve into the details to foster a culture of continuous improvement.

A CEO’S Perspective

Hear from a former Behavior Health CEO how Behavioral Health CareChain can elevate a facility by maximizing insurance reimbursement.

EMR Integration

We use the industry standard of FHIR and HL7 to integrate with many EMRs, including:

Cerner
Epic
Meditech
Netsmart