SPNet’s clinical management program is designed to provide a prospective, managed rehabilitation product to reduce costs and improve overall clinical outcomes. Our clinical program includes a combined prospective and concurrent provider-based peer-to-peer Utilization Management System (UMS) designed to ensure high-quality, evidence based and cost-effective rehabilitative programs.
Our proprietary clinical management program is designed to provide ongoing monitoring and assessment of the medical necessity and appropriateness of rehabilitation services. The program includes prospective assignment of risk-adjusted clinical guidelines and concurrent peer to peer review. All SPNet providers are required to participate in the Clinical UMS program.