Topic For Providers
May 13, 2021|
Looking to reduce length of stay in your hospital without compromising patient care? Consider this creative team approach to case management.
Apr 29, 2021|
Looking to simplify physician documentation? Use templates within your EHR to reduce physician workload, improve patient care, and increase health plan approval.
Apr 01, 2021|
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|
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|
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|
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|
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|
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|
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.