Peer Review
Doctor Credentialing
Podiatry Plan has an established group of more than 400 podiatrists in California, Nevada and Hawaii. Our intimate knowledge of podiatric medicine allows us to select and credential the very finest professionals who are dedicated to the plan's principals of offering the highest quality care at affordable rates.
Peer Review / Quality Assurance Systems
Continuous participation of doctors is based on strict peer review, comprehensive quality assurance systems, annual evaluations and on site visits.
Utilization Hospital Pre-certification and Claims Review
Podiatry Plan includes a utilization control program with pre-certification of surgery and hospitalization. We perform 100% claims review. This program strictly controls, if not eliminates, unnecessary hospitalization while encouraging outpatient procedures. The utilization program is also designed to control under-utilization within our capitation system.
Mangement Information Systems
Our management information systems allow the insurers to control podiatry costs, to make more informed medical care decisions and to predict future costs. These systems and procedures mean greater administrative efficiency for both the insurers and providers.