Procedure Ordering Support
     An Evidence-Based Alternative to Precertification

HealthHelp’s second-generation utilization management program, RadConsult™, reduces unnecessary procedures, limits radiation exposure, and ensures optimal radiation therapy by providing ordering physicians with real-time decision support from peer experts.

Physicians receive HealthHelp’s well-known ordering tool, the pocket-sized Medical Imaging Consultant (MIC), which contains the latest evidence-based information arranged by clinical condition. It helps ordering physicians choose imaging procedures that offer the greatest clinical value with the lowest radiation exposure risk.

Ordering physicians then confer with HealthHelp’s board-certified radiologists when their clinical rationales don’t correlate with HealthHelp’s evidence-based guidelines for ordering procedures such as

• PET,
• MRI,
• CT,
• cardiac nuclear medicine,
• 3-D conformal radiation,
• intensity-modulated radiotherapy,
• stereotactic radiosurgery and radiotherapy,
• brachytherapy, and
• proton-beam therapy.

This ensures that the most appropriate diagnostic test or the most effective cancer treatment plan is used.

RadConsult’s clinical assessment and peer-to-peer education enhance physician knowledge about imaging and radiation therapy modalities and options. This brings the highest level of care to patients and avoids unnecessary tests, diagnosis delays, and ineffective treatment. By emphasizing education and collaboration over coverage denials, RadConsult improves relationships between payers and ordering physicians. When used in combination with RadDirect™, RadConsult incorporates radiology scheduling with procedure assessment criteria. It is designed to supplement—not replace—utilization management. RadConsult is also available as a quick and convenient on-line application.