Heroes to Super Heroes!

Imagine the possibilities of unlocking your healthcare operations with the power of innovation. Our Clinical Process Outsourcing services are not just dependable and streamlined but filled with an undying commitment to excellence. We strive to implement the latest technology, such as ML/AI, to propel your operations further into the future. By partnering with us, you can feel inspired by the endless potential of your healthcare operations. We are here to support and guide you towards greatness, so let’s explore what we can achieve together. Your success is our success, and we believe that anything is possible with a little inspiration and innovation.

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Operations

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In Business

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Satisfaction

One Step Ahead

Why We Are The Best

For over 3 years now, Clinicalogy has been tirelessly dedicated to clinical process outsourcing, empowering countless customers across the United States to provide exceptional, timely service to their clients through a suite of innovative offerings. Our commitment to mastering the art of Clinical Operations optimization with unmatched speed and precision has made us the preferred choice. Our customers have come to rely on our support on a daily basis, and we are proud to continue serving them and raising the bar of excellence in the field. Don’t settle for subpar document management – partner with Clinicalogy and experience the transformative power of truly seamless, top-notch service!

Clinical Process Outsourcing

Explore What We Are Doing Better

“Our customers refer us business because they know we provide dependable services. We are confident in our ability to cater to their needs and offer a tremendous amount of flexibility, allowing them to use our services in the most effective manner. Our track record speaks for itself, and we are committed to maintaining the high level of service that our customers have come to expect from us. With our expertise and dedication, we are confident that we can continue to exceed expectations and provide exceptional services to all of our customers.”

Drafting & Prep.

Document clinical observations, summarize documents and notes. Prepare drafts for Prior Authorization, Utilization Reviews, Peer Reviews and Evaluations. Collect, Collate, Corelate and Collaborate on Clinical Documentation including performing Patient, Provider, Employer and Payer outreach. Schedule, Manage and Document Peer-to-Peer calls. And Perform Quality Reviews

Clinical Reviews & Analysis

Review Medical Records and Clinical information to prepare and provide decisions, and reports for Prior-Authorizations, Utilization reviews, Peer Reviews and Evaluations. Schedule, Manage and Document Peer-to-Peer calls. Work in-tandem and in-close collaboration with your onsite Clinical staff to ensure Quality and speed for Utilization Management.

Final Reviews

Performed by Board Certified and Practicing Physicians in the US. Comprehensive background and license checks performed for each qualified Physician. Review Medical Records and Clinical information to prepare and provide decisions, and reports for Prior-Authorizations, Utilization reviews, Peer Reviews and Evaluations. Scheduling, Managing and Documenting Peer-to-Peer calls.

Clinical Team

Clinicalolgy provides expert clinical resources that compliment and extend your clinical operations. Be it for Utilization Management, HEDIS Review, Triage, Risk Adjustment, Patient Engagement, DME & HIT Claims Management, Recovery Audit Contractor (RAC) Services, Claim & Benefits Management, Value-based Care or Home Health care. Ensuring Quality and Speed of clinical operations.

three steps to success

We Will Help You Every Step Of The Way

We work as part of your team 24/7.

01

Learn

Working in close cooperation with your team. We learn about your unique needs and processes.

All processes are documents. SOPs are prepared and change management is addressed.

02

Deploy

We customize and deploy numerous workflows as per your needs. Testing is performed to ensure flows are well understood and documented. And exception management is handled appropriately.

03

Optimize

We work as an extension of your team. Delivering and Adapting to changing needs.

As part of our central theme to continuously innovate. We share insights and work with you to optimize processes and costs.