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Ensuring Accuracy in Medicine with New Braunfels' Nexus Medical

By Elisha Neubauer

In order to keep the medical field moving safely, swiftly, and efficiently, physicians and organizations utilize external medical review companies. These companies offer an added touch of security and quality through streamlined processes and compliant solutions, to ensure that each and every patient is receiving fair, accurate and timely care.

Nexus Medical, located in New Braunfels, Texas, is one such company. "Nexus is a nationally accredited utilization management organization supplying comprehensive clinical expertise and a fully credentialed clinical panel to all levels of utilization review and managed care," explains Ed Bolton, Chief Executive Officer of Nexus. "By virtue of both state and national statutes and requirements, Nexus provides comprehensive care management tools and services which uniquely benefits all stakeholders in the healthcare delivery model."

Being an independent, third-party company within the medical field, Nexus has one major focus: Quality. "Nexus focuses on objective, complete and unbiased determinations and clinical opinions for our clients," Bolton tells us. "Our four cornerstones are quality, timeliness, compliance and customer service." They offer several options such as, a comprehensive medical bill review component, medical case management and all other ancillary services to complete the full managed care and cost containment suite. They also offer a selection of a la carte options to ensure all needs are met.

Aside from their four cornerstones, Bolton lets us in on the major factor that sets Nexus apart from its competitors: Efficiency. "The foundation of our efficiency is how operationally sound we are, coupled with the strength of our proprietary software," he states. "These are the components that ensure we remove all administrative burden from the process of utilization review and keep the clinical decision-making pure." He goes on, stating, "It is unique to Nexus and was a significant, positive market disruptor."

So what can one expect after contracting with Nexus for utilization management services? "Within our work, we do not typically interact directly with patients, but rather are mandated to work in the best interest of all stakeholders in the managed care industry with objective reviews, ever mindful that the results of our work directly impact patient care and potentially patient outcomes," details Bolton. "We seek out avenues to be innovative and treat our clients and each other with care, ever mindful that there is a person at the end of our processes and their proper and timely treatment and care is the most important factor in the work we do."

Bolton reminds us that, despite the need for a pure clinical decision-making process, at the end of the day, there is a person behind that stack of paperwork. "In general, Nexus observes all patient diagnoses, patient specifics including gender, age, occupation, lifestyle, overall medical history, related treatment or failure of conservative care if appropriate to date and any comorbid issues or factors," he affirms. "The proposed treatment should also be the next best option in the care of the patient."

Nexus holds its focus on quality, while adhering to mandated turn-around-times and client protocols. "Managing our turn-around time and continually tracking timeliness is a key component of our success," Bolton states. "Ensuring compliance on behalf of our clients is pivotal in maintaining our reputation for quality and in our client retention."

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About The Author

Elisha Neubauer is a freelance editor, ghostwriter, book reviewer, and author. She is...

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