Founded in 1997, Executive Health Resources (EHR), The Physician Advisor Company™, is the leading provider of real-time, point-of-care, expert Physician Advisor solutions that maintain the highest level of hospital regulatory compliance, revenue integrity and quality of care. EHR works to facilitate the business of healthcare by effectively developing a rigorous process to manage the relationships between hospitals, physicians and payors. EHR’s mission is to provide hospitals and health systems with the highest-quality, technology-enabled teams of expert Physician Advisors ever assembled in the healthcare marketplace.

Today, EHR's comprehensive programs help more than 500 hospitals recover lost revenue, maintain regulatory compliance, and decrease costs by minimizing medical necessity denials, assisting in determining correct claim status, and achieving appropriate lengths of stay. EHR's teams of Physician Advisors, who are available 7 days a week, 365 days a year, serve as an integral outsourced clinical operational component of EHR’s hospital clients’ Case Management, Utilization Review, Compliance, Internal Audit, Risk Management and Business Offices.

EHR’s Services include:

• Medicare and Medicaid Compliance Management – EHR Physician Advisors, specially trained in Medicare and Medicaid rules and regulations pertaining to Observations Status and Inpatient Status, formally review and document that Medicare and Medicaid patients are assigned to the correct admission status, assuring compliance with CMS rules and revenue integrity by avoiding underuse/overuse of Observation Status. 
• Medicare and Medicaid Denials Management – EHR Physician Advisors are experts in managing the QIO and FI Reconsideration, Administrative Law Judge (ALJ) hearing and Departmental Appeals Board (DAB) processes. EHR appeals QIO and FI denials based upon medical necessity, payment rules and points of law. EHR’s in-depth understanding of the Code of Federal Regulation results in superior appeal outcomes and allows for a coordinated process with its clients’ case management, compliance, and legal departments.
• Recovery Audit Contractor (RAC) Denials Management – EHR Physician Advisors are experts at managing the mandated RAC appeal processes, personally represent hospitals at ALJ hearings, and have managed and successfully appealed RAC denials in demonstration project states. The EHR team has massed extensive experience with all stages of the RAC review and appeal process and has achieved unmatched success in obtaining the reversal of admissions inappropriately denied by RACs.
• Concurrent Clinical Denials Management — EHR Physician Advisors work with hospitals to overturn clinical denials before a patient leaves the hospital. EHR Physician Advisors have experience in dealing with payors nationwide, reviewing over 150,000 denial cases at the point of care. This holds payors accountable and reduces the impact of inappropriate denials on accounts receivable.
• Retrospective Clinical Denials Management — EHR Physician Advisors will manage the entire retrospective appeal process if a clinical denial is not able to be overturned concurrently. EHR Physician Advisors have composed more than 75,000 expert physician-authored appeal letters.
• Length of Stay Management — EHR Physician Advisors work daily with hospital medical staff, providing assistance to manage patient throughput efficiently, avoiding treatment delays and opening up beds for incoming patients. EHR’s Length of Stay (LOS) Program provides hospitals with the strategy and ongoing operational infrastructure to help them manage an important emerging challenge in healthcare - the effect that length of stay has on hospital throughput and costs.

Today, more than 500 hospitals are experiencing The EHR Physician Advisor Advantage:

• Most Experienced – EHR Physician Advisors have successfully performed more than 300,000 concurrent Medicare admission reviews for Medical Necessity.
• Compliant Process – EHR is nationally recognized by Federal regulators and investigators as a solution to manage Medicare Medical Necessity compliance.
• Unmatched Success – EHR Physician Advisors have identified and reversed thousands of inappropriate RAC Medical Necessity denials at all levels of appeal, including ALJ.
• Unparalleled Training – EHR Physician Advisors participate in the nation’s premier formal and ongoing Physician Advisor training program, and undergo extensive specialized training in clinical medicine, utilization management, quality assurance, regulatory compliance and hospital financing.
• Unique Team Model - EHR Physician Advisors 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.
• Advanced Technology - EHR’s interactions are all captured by EHRic^TM, a proprietary technology and data workflow management system that supports efficient Physician Advisor activity and effectively reports all actions and outcomes to EHR’s clients.
  
  

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To stay on top of the latest news, strategies, regulatory updates and guidance on key medical management issues, we invite you to browse EHR's Compliance Library at www.ehrdocs.com located in the Resource Center.

LEARN MORE :    http://ehrdocs.com

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