Performance Management

PHCN uses the power of analytics to help ensure the highest quality of care

 

Through PHCN’s proprietary Pronet™ system, we provide the industry’s most robust set of detailed analytics and reporting.

But it’s not just about providing charts and graphs. PHCN leverages that information to ensure the agencies in our network provide the best quality of care, while adhering to our rigorous service standards and Medicare and state Medicaid guidelines.

For Payers, it means a detailed understanding of the fastest growing sector of healthcare spend.

For our network of agencies, it means the insight to manage their own performance.

Our reporting includes details by patient population as well as drill-downs to providers.

Our Utilization Management (UM) department applies nationally recognized utilization criteria and regionally developed medical policies and standards of care for utilization management reviews. Criteria are available to providers and practitioners upon request by calling 602-395-5100, faxing 602-475-9695, emailing casemanagement@prohcn.com or by mail at 7600 N. 16th St. #140, Phoenix, AZ 85020. Once the request is received, our staff will respond with the requested criteria via fax, email or mail.