Clinical Denials Management & Medical Necessity Compliance Solutions Services
The cost of clinical denials to individual health care organizations is significant, and a challenge to achieving strong financial performance. Many hospitals do not have the proper efficiencies in place to overturn a managed care denial while the patient is still hospitalized or retrospectively. Managing what happens when a patient is in the hospital is vital to ensuring appropriate reimbursement for services rendered and maintaining the cost of caring for each patient.
Why We Endorsed Clinical Denials Management & Medical Necessity Compliance Solutions Services from EHR
The AHA selected Executive Health Resources for exclusive Endorsement because their real-time, point-of-care solutions provide the highest level of regulatory compliance, revenue integrity and quality of care in the industry. Executive Health Resources was the only organization with the clinical background and experience as well as methodologies to improve the issues of concurrent and retrospective denials. The ROI and work flow improvements among their references continue to impress.
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 health care 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 health care marketplace.
Today, EHR's comprehensive programs help more than 1,700 hospitals 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. Learn more at www.ehrdocs.com.
Company Website: http://www.ehrdocs.com
- Executive Summary: Your Readmission Review Process: The Best Defense Is a Good Offense