Apropô Services

Apropô offers a unique range of Durable medical equipment (DME) benefits management capabilities. While other companies may provide a single component, such as DME claims management, utilization review or case management, Apropô offers a comprehensive mix of services. These include:

Comprehensive Evaluation
Typically, Apropô begins its relationship with a health plan by conducting an in-depth review of the current DME program and making recommendations that deliver valuable results.  Utilizing proprietary data analysis tools, we identify anomalies in usage and pricing, and rate a plan's effectiveness at benefits administration. Through this process, we identify needed operational improvements, changes in medical management criteria and alternative pricing strategies.    

Benefits Management
Apropô's DME Benefits Management works in tandem with a health plan’s medical management team to help control costs and improve patient care.  Armed with specialized DME benefits expertise and robust clinical criteria, Apropô ensures patient access to the most appropriate equipment and product selection. Thanks to Apropô's DME experts and ongoing monitoring of all categories of products and supplies, it is often possible to provide patients with vastly higher-quality products that better fit their needs, at a lower price.

Claims Management
Fast, accurate claims administration enhances vendor relationships, ensures operational compliance and frees up plan resources to concentrate on more important tasks. Serving as a fiscal intermediary, Apropô expedites this historically complex and time-consuming process and integrates it with medical management activities to provide full adjudication of all critical decisions.  This results in the best price for the most appropriate piece of equipment within a timeframe that exceeds industry standards.

Contract Management
Apropô uses vendor relationships, pricing algorithms and a proprietary web-based contract management system to effectively establish a vendor panel that meets the health plan’s access requirements, minimizes disruption and ensures member access to the highest quality products at the lowest possible cost.  Once the panel is established, Apropô provides a Web-based claims and authorization process that strengthens vendor relationships by offering a streamlined and expedited process for claims payment and approval of authorizations.