Radiology Utilization and Quality Management

CareCore Radiology's Utilization and Quality Management programs address marketplace dynamics, exceeds management objectives, and harnesses inappropriate utilization. Our approach enables clients to manage radiology benefit expenses within the parameters of quality, patient access and appropriateness of care. Through these programs, we help our clients achieve an immediate reduction in imaging costs through effective management of utilization.

• Prior Authorization
• Privileging
• Payment Policies
• Network Management
• Benchmarking and Reporting

Quality Management Program

CareCore Radiology's Quality Management Program assures continual performance monitoring of the diagnostic imaging delivery system by deploying a dynamic set of quality based protocols to all facets of the delivery of care. The quality improvement program is designed to ensure that complex procedures, which require specialized physician experience and/or state-of-the-art equipment, are provided by facilities that have proven that their equipment, technicians and physicians comply with CareCore National's performance standards for these procedures.

CareCore Radiology's quality management components include:

• Facility Assessment
• Accreditation Requirements
• Performance Standards
• Equipment Standards
• Continuous Improvement/Education
• Film and Process Reviews
• Performance Reporting and Benchmarking