Utilization Management, focusing on quality patient care and cost-effectiveness, is a vital cog…
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What is Utilization Management and Why It’s Important in Healthcare
Utilization management plays a pivotal role in healthcare. Utilization management promotes…
A Comprehensive Guide to Understanding and Managing Hospital Length of Stay
You’re delving into a crucial topic in healthcare management: understanding and managing…
Optimizing Coordination Among Mid-Revenue Cycle Stakeholders
Learn about the specific outcomes of the emergency department pilot program during…
What Is Your Data Telling Medicare?
“Upcoding” remains a common mechanism of improper payments. “Healthcare compliance…
Is There a Blind Spot in Your Mid-Revenue Cycle?
As a former manager of clinical documentation integrity (CDI) and utilization…
Healthcare-Associated Pneumonia: Why You Should Not Diagnose It
The diagnosis of Healthcare-Associated Pneumonia (HCAP) is clinically out of date…
Take control of Medicare Advantage denial challenges
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our…
Expand the role of the physician advisor to break down silos
I just returned from the ACPA National Physician Advisor Conference where I met…