Rising denial rates aren’t just a paperwork problem—they’re reshaping inpatient admissions and impacting hospital revenue. With data-driven strategies and Physician Advisor support, learn how to break the cycle of reactive decision-making, protect your bottom line, and reclaim earned but unrealized revenue.
Denials vs. Inpatient Admission Percentage – Examining the Financial and Clinical Impact Read More
To maintain balanced, hospitals must track key performance indicators (KPIs) that reflect the broader ecosystem rather than just isolated departmental goals.
The Bigger Picture: Aligning Patient Care, Compliance, and Financial Health Read More
Learn how hospitals can optimize the peer-to-peer process with expert advocacy, data tracking, and strategic pursuit rates.
Peer-to-Peer Reviews for Medical Necessity Appeals: Key Strategies for Revenue Recovery Read More
Learn how Physician Advisors act as payor watchdogs to secure earned revenue, support compliance, and improve operational efficiency.
Physician Advisors: Protecting Hospital Viability Read More
Discover how Physician Advisors support revenue capture, ensuring compliance, optimizing operations, and helping hospitals thrive.
The Vital Role of a Physician Advisor in Modern Healthcare Read More
Discover why Physician Advisors are essential for bridging hospital clinical and administrative needs.
The Physician Advisor: The Administrative Role Hospitals Can’t Afford to Overlook Read More
Discover changes to CMS Rule 4204F, addressing Medicare appeal rights after inpatient-to-outpatient reclassification.
Understanding Beneficiary Appeal Rights After Inpatient-to-Outpatient Status Changes Read More
Why do conflicts over the two-midnight rule persist? Discover how clearer documentation, alignment with Rule 1599F, and streamlined processes can reduce denials and enhance care coordination. Learn actionable strategies to close documentation gaps and improve outcomes for both patients and hospitals.
Two-Midnight Rule: Greater Understanding Yields Better Results Read More
Certus Radar™ combines expert automation and real-time analytics to optimize utilization management, ensuring accurate patient status and timely escalations to prevent revenue leakage.
Unlocking Compliance, Continuity, and Revenue Potential with Certus Radar™ Read More
Discover how Brundage Group helps hospitals reduce denials, improve revenue capture, and streamline compliance through expert insights and data-driven solutions.
As we celebrate Case Management Week, let’s explore how case management has evolved and recognize Physician Advisors’ vital role in supporting this essential function. Here’s a look at the evolution of case management and the value Physician Advisors bring:
Recognizing the Role of Physician Advisors in Case Management Read More
Discover key factors hospitals may overlook when transitioning to an internal Physician Advisor program in Dr. Tim Brundage’s latest blog.
Thinking of Transitioning to an Internal Physician Advisor Program? Read More
Struggling to secure the revenue your hospital deserves? Brundage Group specializes in Mid-Revenue Cycle Optimization, offering innovative solutions to streamline processes, enhance documentation, and maximize financial outcomes.
Mid-Revenue Cycle Optimization: How Brundage Group Helps Hospitals Secure Earned Revenue Read More
CDI and coding professionals should consider the totality of the record when…
Why Providers Should be Documenting “Evidence of” a Diagnosis Based on Clinical Findings Read More
Learn about the specific outcomes of the emergency department pilot program during…
Optimizing Coordination Among Mid-Revenue Cycle Stakeholders Read More
Do health information management (HIM) and clinical documentation integrity (CDI)…
Is Everything in the Medical Record “Documentation”? Read More
As a former manager of clinical documentation integrity (CDI) and utilization…
Is There a Blind Spot in Your Mid-Revenue Cycle? Read More
The diagnosis of Healthcare-Associated Pneumonia (HCAP) is clinically out of date…
Healthcare-Associated Pneumonia: Why You Should Not Diagnose It Read More
Surviving Sepsis Campaign International Guidelines for the Management of Septic…
Know the New Pediatric Sepsis Criteria Read More
Emergency departments (EDs), the US healthcare system “safety net”, are seeing…
Optum (UHC) Profits from Denying ED Payments Read More
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our…
Take control of Medicare Advantage denial challenges Read More
Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why…
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals Read More
DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!
I just returned from the ACPA National Physician Advisor Conference where I met…
Expand the role of the physician advisor to break down silos Read More
Do you recall the days of being graded on a bell curve? Your grade didn’t…
Is your hospital slipping on industry rankings? Read More
