Executive Health Resources, the Physician Advisor Company, is the leading provider of expert medical management services to improve hospital revenue and maintain compliance.
EHR Physician Advisors provide hospitals and health systems with an outsourced operational and clinical resource to address their greatest financial and compliance challenges. Outsourcing a medical management team results in improved outcomes and lower healthcare costs. EHR is a team of physicians with specialized expertise who provide daily support to case management, physicians, and office staff. Working as an operational partner, EHR helps ensure that quality clinical care is matched with sound financial strategy. With EHR, hospitals can address several important objectives:
- Medicare Compliance Program — EHR formally reviews and documents that Medicare patients are assigned correctly to observation status, assuring compliance with Condition Code 44 rules and avoiding errors of underuse/overuse of observation status.
- Concurrent Clinical Denials Management — EHR works “in the trenches” with your hospital to overturn clinical denials before a patient leaves the hospital.
- Retrospective Clinical Denials Management — If a clinical denial is not overturned concurrently, EHR composes a coded physician-authored appeal letter that is taken through every payor, state and regulatory appeal level.
- Length of Stay (LOS) Management Program — EHR works daily with your medical staff, providing assistance to manage patient throughput efficiently, avoid treatment delays and open up beds for incoming patients.
HERE’S HOW EHR® WORKS
EHR Physician Teams work each day with your case management team, attending physician staff, and business office to address problems while patients are still in the hospital. EHR becomes part of your everyday case and utilization management program, assuring that care is delivered efficiently and reimbursed appropriately.
EHR’s “Point of Service” medical management approach is unique in healthcare. EHR helps you maximize revenue by assigning patients correctly to observation status, decreasing clinical denials, improving patient throughput, and improving medical necessity documentation. At the same time, EHR’s services reduce costs by improving both physician utilization and the coordination of services through its direct, physician-to-physician interaction.
- TRAINING: EHR Physicians undergo extensive specialized training in clinical medicine, utilization management, quality assurance, regulatory compliance, hospital financing, and managed care.
- TEAM: EHR Physicians work as a team ensuring a unique expertise and always expanding skill set. They provide a unifying link between often disparate hospital clinical and business departments, thereby ensuring that excellent clinical care is managed cost-effectively and reimbursed appropriately.
- TECHNOLOGY: EHR interacts daily with your medical staff and case management personnel, at the time and point of care, to incorporate the financial goals of the hospital into the care management process. Every EHR interaction is captured by EHRicTM, a proprietary technology and data work flow management system that support efficient Physician Advisor activity and effectively reports all actions and outcomes to you, the client.
FEATURES
- Trained Physician Advisors are available 7 days a week, 365 days a year
- Ongoing Physician Advisor training ensures up-to-date expertise
- Hospitals require no specific technology, other than a telephone; EHR delivers its products through daily, real-time, point-of-care interaction with attending and consulting physicians, case managers, and ancillary staff
- The benefits of EHR’s technology system, called EHRicTM are delivered without any electronic connection
- EHR can leverage information contained in the hospital EMRs, case management systems, for example, Midas, Canopy, and billing systems
- EHR provides regular cost/benefit reports to hospital operational and administrative personnel and leadership
BENEFITS
- Increase hospital revenue
- Properly apply Condition Code 44 and the designation of observation status
- Ensure a consistent and compliant process for medical necessity certification
- Reduce length of stay and increase throughput; achieve savings of 0.5 to 1.5 days (equivalent to $150,000 - $500,000 per month)
- Decrease inappropriate hospital costs
- Provide physician education/improve medial staff efficiency
- Provide timely interface between medical staff and administration
- Improve timeliness and accuracy of documentation and compliance
- Provide moment-of-care case management support
- Achieve an ongoing return on investment from 3:1 to 6:1
TESTIMONIALS :
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http://ehrdocs.com
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