Utilization Management

Simplifying the management of health care dollars

Through ongoing monitoring and evaluation of services, Mercy Virtual ensures good medical practice, reduces costly delays, and creates a positive experience for your health care patients and providers. Utilization Management provides virtual oversight, resources and information to providers to get the most out of every health care dollar.  Together, we facilitate access to the appropriate services in the appropriate setting; evaluate medical necessity and appropriateness of services against established criteria; and carefully protect patient care information.