• Utilization Management

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

Beyond the Denial Epidemic

Beyond the Denial Epidemic

Beyond the Denial EpidemicBy Patrick Leonard, CEO, CorroHealth Originally Published on Becker's Hospital ReviewFacing an unprecedented surge in payer denials, the healthcare industry confronts a pivotal challenge that threatens its foundational mission of patient care...

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

Medicare Advantage or Disadvantage?

Medicare Advantage or Disadvantage?

OIG Raises Concerns About Service and Payment Denials Under Medicare Advantage Plans According to CMS, almost 37% of all Medicare beneficiaries will enroll in Medicare Advantage plans in 2019. In addition, the market remains very attractive to insurers who plan to...

Regulatory Bulletins

No Results Found

The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.