Rani Hanna, MD, MS helps health plans, IROs, UM vendors, and clinical AI teams make consistent, well-supported decisions across peer review, peer-to-peer physician consultations, prior authorization, medication coverage, level of care, reconsiderations, and appeals. Professional services are provided through Hanna Medical Consulting MD LLC.
Objective clinical analysis grounded in the medical record, current evidence, CMS guidance, and health-plan coverage criteria.
Independent evaluation of acute admissions, continued stays, procedures, and requested services across complex adult medicine.
Physician review of requested medications, treatments, procedures, and services using applicable clinical evidence and coverage requirements.
Complete physician-review support, from careful record synthesis and evidence-based determinations to timely peer-to-peer discussions with treating providers.
Independent physician evaluation of AI-assisted utilization and prior-authorization outputs for accuracy, consistency, and appropriate escalation.
Available for individual case assignments, panel participation, remote physician-review work, timely peer-to-peer consultations, and focused clinical validation projects.
Each case receives efficient record synthesis, independent physician judgment, and a rationale written for clarity and defensibility.
Responsive availability for routine and time-sensitive reviews, including expedited peer-to-peer consultations, aligned with client requirements and escalation pathways.
Practical application of InterQual, MCG, California Medical Treatment Utilization Schedule (CA MTUS), Medical Treatment Guidelines (MTG), Official Disability Guidelines (ODG), CMS guidance, internal plan policies, and commercial-payer medication coverage criteria.
Ongoing hospitalist practice informs realistic assessments of acuity, treatment intensity, medication use, and discharge readiness.
Independent conclusions, attention to conflicts of interest, and careful handling of confidential clinical information.
ABIM board-certified internist, hospitalist, academic physician, and comprehensive utilization-management reviewer. Dr. Hanna brings more than a decade of experience spanning inpatient medicine, primary care, academic teaching, clinical research, peer review, timely peer-to-peer physician consultations, prior authorization, reconsiderations, appeals, and coverage determinations.
A concise operational summary for review organizations and credentialing teams.
| Focus area | Proficiencies |
|---|---|
| Guidelines & frameworks | MCG, InterQual, California Medical Treatment Utilization Schedule (CA MTUS), Medical Treatment Guidelines (MTG), Official Disability Guidelines (ODG), CMS and Medicare guidance, NCDs and LCDs, FDA-approved labeling, current PubMed-indexed literature, and commercial-payer policy |
| Review types | Prior authorization, medication coverage and literature review, concurrent and retrospective review, peer-to-peer consultation, level of care, reconsiderations, and appeals |
| EHR & technical tools | Epic, Cerner, MEDITECH, Soarian, Allscripts, and SPSS |
| Licensure | Active multi-state coverage in California, Texas, Ohio, Michigan, and Indiana; IMLCC qualified |
Available to discuss independent reviewer credentialing, remote utilization management, medical director, workers’ compensation, and clinical advisory opportunities. Complete curriculum vitae, references, and credentialing documentation are provided directly through an appropriate secure channel to verified review organizations upon request. Please do not send patient records, protected health information, or requests for personal medical advice by email.
