Fractional Physician Advisor

ENGAGEMENT MODELS

Physician Advisor Service Options

Flexible, cost-effective engagement structures designed to meet your hospital's unique needs

FPA Service Options overview document

Engagement Models in Detail

Per Case Model

Peer-to-Peer Review Support

Pay only for what you need — no retainer, no overhead.

Engagement Structure

  • Billed per peer-to-peer review case completed
  • No monthly minimums or long-term commitments
  • Scalable to case volume — high or low
  • Rapid onboarding — typically within 1–2 weeks

Core Services

  • Peer-to-peer review calls with commercial payer medical directors
  • Medical necessity documentation and clinical rationale support
  • Denial prevention through proactive clinical review
  • Real-time availability for urgent peer-to-peer requests
  • Post-call summary and outcome tracking

Strategic Benefits

  • Reduces denied claims and improves cash flow
  • No fixed overhead — cost directly tied to utilization
  • Access to board-certified, experienced physician advisors
  • Ideal for hospitals with variable or unpredictable case volumes
Hourly Model

Peer-to-Peer Review Support

Predictable, flexible support billed by the hour.

Engagement Structure

  • Billed at an agreed hourly rate
  • Flexible scheduling — block hours or on-demand
  • Monthly invoicing with detailed time logs
  • Minimum hour commitments available for priority scheduling

Core Services

  • Peer-to-peer review calls with payer medical directors
  • Medical necessity and utilization management consultation
  • Case management collaboration and clinical guidance
  • Physician champion services for complex cases
  • Length of stay management and discharge planning support

Strategic Benefits

  • Transparent, predictable billing structure
  • Broader scope of services within each engagement
  • Builds ongoing relationship with a dedicated physician advisor
  • Suitable for hospitals needing consistent, recurring support
Training Program

Physician Advisor Training & Development Program

Build internal physician advisor capacity within your organization.

Engagement Structure

  • Structured curriculum delivered over 4–12 weeks
  • One-on-one mentorship with a senior physician advisor
  • Live case review sessions and real-world application
  • Customized to your hospital's EMR and UM workflows

Core Services

  • Medical necessity criteria training (InterQual, Milliman)
  • Peer-to-peer review techniques and payer communication
  • Utilization management principles and regulatory compliance
  • Denial management strategies and appeal processes
  • Preparation for ACPA-C or CHCQM-PHYDV certification

Strategic Benefits

  • Develops long-term internal physician advisor expertise
  • Reduces reliance on external advisors over time
  • Improves hospital-wide utilization management culture
  • Supports physician career development and retention

Ready to Get Started?

Contact us to discuss which engagement model best fits your hospital's needs. We offer a complimentary consultation to assess your current utilization management challenges.