Charting the Course: Leading Hospitals Through CMMI’s Seismic Shift  February 19, 11:00 AM PSTWith shifting regulations and increasing technical complexity, hospitals and health systems face constant pressure to maintain compliance. In this session, Vice President of...
Clinically Aligned Status Decisions. Financially Sound Outcomes.
Reduce administrative burden and avoid costly missteps with a utilization management strategy built for speed, precision, and alignment.
- 23% Average Payment Increase per Medical Case
- 40% Fewer Physician Advisor Concurrent Reviews
- 60% Reduction in Concurrent Patient Status Reviews
- 50% Decrease in Observation Rates
UTILIZATION MANAGEMENT
Leveraging advanced data analytics with clinical expertise to strategically and compliantly combat payer denials
Physician Advisory
Strategic and programmatic approach to transform team performance
Analytics as a Service
Align critical metrics to your revenue goals
Admission Status Reviews
Proprietary data-driven review program to optimize patient admission status
Peer-to-Peer Reviews
We defend your patient care choices to secure fair reimbursement
Denials Management
Root-cause analysis and strategy to combat payer tactics
UM Resources
Why Hospitals Are Moving Beyond Reactive Appeals to a Strategic Offense
Why Hospitals Are Moving Beyond Reactive Appeals to a Strategic OffenseHospitals spend billions of dollars each year fighting claim denials, but the volume keeps climbing. For many leaders, the reflex is to add more staff, more metrics and more appeals in a race to...
How Payers Keep Denials Rates High, and What to Do About it
Level the Playing Field: How Payers Keep Denial Rates High, and What to Do About itMore than 25 years ago, on a day like any other, when Dr. Jerilyn Morrissey (now Chief Medical Officer at CorroHealth) was just a new physician and documentation was a pen-to-paper...
How AI is Improving Healthcare: An Expert Perspective
AI in Action: How Hospitals Are Transforming the Workforce with Artificial Intelligence How AI is Improving Healthcare: An Expert PerspectiveWith artificial intelligence surging in the workforce, we asked Tami Knobbe for her perspective on how it really affects...









