Topic For Providers

May 13, 2021
For Providers

Try this new approach for reducing length of stay in your hospital

Looking to reduce length of stay in your hospital without compromising patient care? Consider this creative team approach to case management.

Apr 29, 2021
For Providers

Simplify physician documentation with this easy EHR hack

Looking to simplify physician documentation? Use templates within your EHR to reduce physician workload, improve patient care, and increase health plan approval.

Apr 15, 2021
For Providers

When to use peer-to-peer reviews in your hospital

Peer-to-peer reviews can be an important part of your strategy to maintain a healthy return in your hospital. But do you know when you should conduct these reviews?

Apr 01, 2021
For Providers

Why outsource your physician claims review process

If your hospital is struggling to maintain healthy profit margins, you may want to consider outsourcing your physician claims review process. An outside, experienced utilization management consultant can provide vital perspective and the tools you need to make lasting change.

Mar 11, 2021
For Providers

The overlooked impact of case mix index on your hospital return

Your case mix index is often overlooked as a way to improve your hospital return, but even fractional increases in your case mix index can increase payments for your hospital across the board.

Mar 04, 2021
For Providers

Are denials for post-acute care hurting your average length of stay?

Denials for post-acute care will always impact the length of stay for patients who need inpatient rehab, LTAC, or a SNF, complicating their transition to the care they really need while negatively impacting your return.

Feb 25, 2021
For Providers

Are you having trouble completing appeals for payment denials?

Struggling to complete appeals for your payment denials? You’re not alone. Learn how to develop an effective appeals process that actually works.

Feb 18, 2021
For Providers

The hidden connection between documentation and denials

If you’re getting too many denials from health plans, it can be difficult to identify why. If your physicians are providing appropriate care within the criteria, there’s a good chance you have problems with your documentation.

Feb 11, 2021
For Providers

Four signs peer-to-peer reviews might be a problem in your hospital

Even if you've had difficulties with peer-to-peer reviews in the past, these reviews can transform your hospital return. Learn why peer-to-peer reviews matter, and how you can leverage them to get reimbursed for the care your patients need.

Feb 04, 2021
For Providers

Are you getting too many denials from health plans?

As a healthcare provider, your goal is to give your patients the medical care they need. But if you’re receiving outright denials or downgraded reimbursements from health plans, you’re losing money for the care you’ve already provided.

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