Precertification
Sterling MM has been providing Medical Review and Utilization Management services to insurance companies.
Rights & Responsibilities
Sterling MM shall have available on Sterling MM Web site information with regard to consumer rights and responsibilities.
Medical Management
Pre-Certification by a phone call, fax, or secure online portal. Pre-certification review and approval for elective hospitalizations.
Sterling
Managing healthcare in partnership with payers since 1995.
Sterling MM provides a comprehensive medical management program that includes pre-certification of services and admissions, concurrent review, retrospective review, case management and disease management. SMM staffs includes physician, nurses, ancillary and other administrative personnel to provide best in class customer service. SMM is fully versed in using EDI and is fully compliant with all HIPAA and HITECH regulations.
