The AHA Exclusively Endorses Executive Health Resources' ClinicalDenials Management and Medical Necessity Compliance Solutions
The American Hospital Association (AHA) today announced it has extended its exclusive endorsement of Executive Health Resources, Inc.’s (EHR) Clinical Denials Management and Medical Necessity Compliance Solutions Services. AHA Solutions, Inc., a subsidiary of the AHA, awards the AHA endorsement to products and services that are instrumental in helping member hospitals and health care organizations achieve operational excellence. Following a comprehensive market assessment and an extensive re-evaluation of EHR’s clinical compliance accountability solutions, the AHA is proud to re-endorse EHR’s Clinical Denials Management and Medical Necessity Compliance Solutions Services.
Hospital compliance programs are under increased scrutiny by a host of government contractors with respect to Medicare Conditions of Participation (CoP) and other Centers for Medicare and Medicaid Services (CMS) policies as they relate to medical necessity. EHR provides best-in-class operational, technological and clinical resources that are instrumental in helping hospitals ensure regulatory compliance.
“After a thorough market assessment, AHA Solutions salutes EHR’s continued commitment to hospitals. EHR has successfully performed more than three million medical necessity reviews, conducted hundreds of audits at hospital facilities, and identified and reversed thousands of inappropriate medical necessity denials,” said Anthony Burke, president and CEO of AHA Solutions. “EHR delivers medical necessity compliance solutions with its regulatory team of more than 600 expert Physician Advisors, who are specially trained in Medicare and Medicaid rules and regulation, attesting to its strength and market-leading position in medical necessity compliance.”
“EHR is honored to continue our long-standing strategic relationship with the American Hospital Association,” said Robert Corrato, MD, MBA, president and CEO of Executive Health Resources, Inc. “The need for medical necessity compliance in health care has never been more critical than it is now. EHR is proud to work with AHA Solutions to help educate hospitals on achieving a proactive compliant certification process and to ensure compliance with all regulatory requirements. EHR physicians work every day at the point-of-care with attending hospital physicians, on a doctor-to-doctor level, to achieve compliance, appropriately decrease denials and improve the patient care process.”
About the AHA
The American Hospital Association (AHA) is a not-for-profit association of health care provider organizations and individuals that are committed to the improvement of health in their communities. The AHA is the national advocate for its members, who include more than 5,000 member hospitals, health systems and other health care organizations, and 42,000 individual members. Founded in 1898, the AHA provides education for health care leaders and is a source of information on health care issues and trends.
About AHA Solutions
AHA Solutions, Inc. is a resource to hospitals pursuing operational excellence. As an American Hospital Association (AHA) member service, AHA Solutions collaborates with hospital leaders and market consultants to conduct product due diligence and identify solutions to hospital challenges in the areas of finance, human resources, patient flow and technology. AHA Solutions provides related marketplace analytics and education to support product decision making. As a subsidiary of the AHA, the organization convenes people with like interests for knowledge sharing centered on timely information and research. AHA Solutions is proud to reinvest its profits in the AHA mission: creating healthier communities. For more information, contact AHA Solutions at 800.242.4677 or visit www.aha-solutions.org.
About Executive Health Resources
Executive Health Resources, Inc. (EHR), The Physician Advisor Company™, is the leading provider of medical necessity compliance solutions to more than 1,700 hospitals and health systems across the country. Endorsed by the American Hospital Association and Peer Reviewed by the Healthcare Financial Management Association, EHR’s comprehensive solutions include: Concurrent Medicare and Medicaid Medical Necessity Compliance Management, including Inpatient and Observation Review and Certification, Cardiac Procedure Review and Certification, Readmission Review and Certification and Continued Stay Review; Governmental Payor Denials and Appeals Management; Managed Care/Commercial Payor Denial Management; and Expert Advisory Services. EHR delivers its solutions through expert Physician Advisors who are specially trained in Medicare/Medicaid rules and regulations, have real-time access to clinical and regulatory intelligence and leverage EHR’s database of more than three million medical necessity reviews through EHR’s proprietary workflow technology. Learn more about EHR at www.ehrdocs.com.