Strategic and programmatic approach to transform team performance
Align critical metrics to your revenue goals
Proprietary data-driven review program to optimize patient admission status
We defend your patient care choices to secure fair reimbursement
Root-cause analysis and strategy to combat payer tactics
Webinar: Strategic Denials Mitigation Strategies to Strengthen Hospital Financial Health Amid Payer Pressures Medicare Advantage payers use a range of aggressive and evolving tactics to avoid paying providers. Yourhospital’s revenue integrity strategy must evolve at...
Stronger Documentation, Smarter Revenue The UM & CDI Advantage March 11th | 11:00 AM PST | Becker's Hospital ReviewChief Medical OfficerCorroHealthSenior Vice PresidentCorroHealthAs hospitals face increasing financial pressures and growing payer scrutiny,...
The $23.5 Million Difference in Patient Status DeterminationsHow One Strategic Partnership Catalyzed Hospital Utilization Management Strategies and Revenue Growth Overview A top-tier nonprofit health system in Southwest Florida is ranked among the top 15% of hospitals...
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...
Over the last few years, there has been a trend toward automating the medical necessity UR screening process using software to extract clinical data and either apply commercial criteria or create an acuity score. As I have strolled across trade show floors, I see...
In 2013, the Centers for Medicare and Medicaid Services (CMS) finalized the “Two-Midnight” Rule addressing when beneficiary hospitalizations are appropriate for inpatient payment under Medicare Part A. CMS adopted the “Two-Midnight” Rule to simplify the beneficiary...
