Clinical reviewers working in an office
Service 02

Utilization Management & Review

Authorizations managed and medical necessity defended — so the care you deliver stays authorized and your length of stay holds.

In behavioral health, a denied day is revenue earned and lost in the same breath. Centerline manages the entire authorization lifecycle — from initial certification through concurrent review — and builds the medical-necessity case that keeps each level of care authorized. Our senior U.S.-based UR team speaks the payer's language and works as an extension of your clinical leadership, so your team can stay focused on the patient.

What's included

  • Pre-certification and initial authorizations secured before they hold up admission
  • Concurrent and continued-stay reviews submitted on the payer's timeline
  • Peer-to-peer review support — the clinical case prepared and coordinated
  • Medical-necessity documentation that holds up under payer scrutiny
  • Level-of-care transition support — detox to residential to PHP to IOP to outpatient
  • Denial and appeal support when a review doesn't go your way
+8%Increase in authorized treatment days
65%Peer-review authorization extensions approved

Client averages reported by Centerline Medical Billing across active engagements.

How it works

1

You share admission & clinical details

Patient admission information and the clinical picture — however your team already documents it.

2

We manage authorizations and concurrent reviews

Our UR team works directly with the payer, securing certifications and presenting medical necessity at every continued-stay review.

3

Protected length of stay

Authorized days held and defensible documentation on file — so the episode of care is reimbursable from intake to discharge.

Questions

Utilization review, answered.

What is utilization review in behavioral health?
Utilization review is the process of justifying ongoing care to the payer — presenting clinical documentation that demonstrates each level of care remains medically necessary, so authorized days aren't cut short.
Do you handle peer-to-peer reviews?
Yes. We support peer-to-peer reviews — preparing the clinical case and coordinating with your team so the discussion with the payer's medical reviewer is defensible.
How does UR protect our revenue?
Strong utilization review protects authorized length of stay and builds defensible documentation — which means fewer denials downstream and more of the care you deliver actually getting reimbursed.
Free billing review

Stop losing authorized days.

See how a behavioral-health-only partner manages authorizations and defends medical necessity — and what it protects downstream.

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