Your experienced partner in utilization management.

Our experience gets results

30%

Improved per-patient revenue

16%

Increased CASE mix index (CMI)

79%

AVG length of stay vs. Expected

Are you getting too many denials?

Improve and protect your profit margins with our experienced team of board-certified physicians. We serve as your advocate to lower your denial rates through a comprehensive strategy designed to target your hospital’s utilization management needs.

Our review process works because we address the root causes of your medical denials while using our health plan experience to appeal cases. Our physicians partner directly with your hospital physicians to correct underlying issues in your utilization management processes.

Learn about Cadenza Health

Our goal is to ensure your organization is reimbursed appropriately for providing the care patients need.

Our team of board-certified physicians takes an individualized approach to utilization review by creating targeted interventions for each client.

Diagnose

Assess gaps within your utilization management department

Prescribe

Create a plan, tailored to your specific areas of need

Heal

Assist, equip, and train your Case Management team for long-term health

How Healthy Is Your Return

How healthy is
your hospital return?

Download our self-assessment tool to diagnose issues in your Utilization Management process.

Find out how healthy your
Case Management department is.

Provider Services

Our team has extensive experience with Utilization Management and Utilization Review across a range of healthcare services.

Who is Cadenza Health?

We partner with health care organizations to improve Utilization Review and Utilization Management in a range of service areas.

How we can help

Our experienced, physician-led team can create a custom, targeted UM plan for the specific needs of your organization.

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