About Healthcare Utilization Consultants
Who we are, what we do, and where we are going.
Who we are
Healthcare Utilization Consultants is a healthcare strategy, operations and technology firm built first for physician practices. We find the root cause of operational problems, build the solution, and stay on as a partner as the practice grows, from a single practice to a multi-site health system. We can also serve as the practice's complete IT department.
Primary focus
Physician practices, especially small and mid-sized: efficient processes and automation built in early, costs cut the right way, and one long-term partner for all technology, IT and security instead of many vendors.
Experience
20 years across development, operations, quality management and utilization review, on both the payer and provider sides of healthcare.
That positions us to support a practice from the ground up, from day one.
- Cost savings
- Maintenance
- Support
- Enhancements
- Changes as you need them
- Quick turnaround times
Mission
Help physician practices, and the organizations that support them, run better by solving operational problems at the root and building solutions that last.
Intent
Every engagement ends with something working: a workflow, a tool or a dashboard the client's team uses every day.
Principles
- 01Systems thinking. We see how every workflow, team and system connects.
- 02Root-cause analysis. We fix the cause, not the symptom.
- 03Iterative intelligence. Every cycle sharpens the next one.
- 04Cross-disciplinary thinking. Clinical, operational, financial and technical expertise on one team.
- 05Execution and persistence. We stay with the work until the result holds.
What we do
Managed IT and security
Your full IT department, or support for the team you have: implementations, database management, security, firewalls, support and maintenance, for less than the cost of one full-time IT hire. Actual cost depends on your systems, your size and the scope we agree in writing.
See how the savings workPrior authorizations, denials and appeals
We prepare and submit prior authorizations to each payer's requirements. When a patient's service or claim is denied, we review the case, the clinicals and the payer's own policies, then prepare the appeal.
Operations and workflow
Workflow mapping, bottleneck removal and redesign around your team.
Care management and utilization
Care coordination, referral leakage and authorization tracking.
Explore care managementAI and automation
Document intake, summaries, routing and follow-up handled by AI.
Data and dashboards
Executive, clinical, risk and leakage dashboards.
Documentation and revenue integrity
Level-of-care, documentation and coding support for payer review.
Strategy and transformation
Transformation plans with owners, milestones and measures, carried through to execution.
Goals for our clients
- Efficient processes and automation in place early, before problems grow
- Lower overhead: one partner instead of separate IT staff and vendors
- Less manual work for clinical and office staff
- Fewer patients and dollars lost between visits, referrals and admissions
- Numbers leaders trust and act on
- Solutions the client's team owns and runs
Where we are going
- Be the first call for physician practices when a problem cannot be solved internally
- Stay with every client as a long-term partner, with ongoing support and new builds
- Agree on the measure of success at the start of every engagement and report against it
Tell us the problem. We will show you the fix.
As your IT department or alongside your team, we partner with your practice for the long run and build what you need next.