Inpatient services are typically the most costly care provided to patients. Hospitals provide this care at great expense and deserve to be reimbursed appropriately. Due to this great expense, payers are always trying to apply strict criteria to ensure no unnecessary hospitalizations are being approved. Your authorization team must know how to navigate this process in order to survive in this tightly managed area of healthcare.
Cadenza Health has a team of reviewers with a long history of clinical practice in the acute care setting as well as extensive experience performing utilization reviews for payers, including appeals. This makes us uniquely qualified to assist you in improving your authorization process. Our understanding of acute illness, pre- and post-operative surgical care and payer utilization management, allows us to provide you with top quality results.