UTILIZATION MANAGEMENT

Precise Insight from CorroHealth’s Clinical Experts

Identify risks and opportunities to safeguard your revenue.

  • 23% Average Payment Increase per Medical Case
  • 40% Reduction in Physician Advisor Concurrent Reviews
  • 60% Reduction in Concurrent Patient Status Reviews
  • 50% Reduction 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

Payer’s Playbook

Payer’s Playbook

The Power Play: Transforming Payer Tactics into Provider SuccessA stark reality looms within the U.S. healthcare system today- a profound tilt in power and influence towards health insurance behemoths, creating a systemic imbalance between economic gain and human...

Regulatory Insights

COVID-19 CARES Act: Hospitals Must Proceed Carefully

COVID-19 CARES Act: Hospitals Must Proceed Carefully

By Jerilyn Morrissey, MD and Jay Ahlmer, CFA As COVID-19 case volumes continue to grow and hospitals prepare for an anticipated patient surge, the stress on healthcare facilities to weather an unprecedented health and financial crisis has skyrocketed. While the $2...

Improving Hospital Performance: A Counterintelligence Operation

Improving Hospital Performance: A Counterintelligence Operation

As payers become more sophisticated and aggressive in their audit and denial activity, many hospitals have struggled to keep pace. Operational silos and departmental driven metrics lead to disjointed, labor intensive, and ultimately unsuccessful efforts. These efforts...

Regulatory Bulletins

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