Providers continue to experience challenges with demonstrating success in a value-based care environment, often due to poor clinical documentation integrity.

Continue Reading

Physician Advisor Programs

The importance of the physician advisor

Providers continue to experience challenges with demonstrating success in a value-based care environment, often due to poor clinical documentation integrity.

The role of the physician advisor is to lead the global team—quality, utilization, denials and CDI—toward accurate portrayal and status of patients, as well as appropriate tracking of the quality of care that physicians are providing to the community.

Physician advisors have the power to help hospitals overcome the ever-changing regulatory demands, to achieve fiscal health, positive public perception and patient satisfaction.

How we can help

The process of hiring, training and implementing a functional physician advisor program can be intensive. We have a proven track record of assisting organizations with developing and sustaining successful physician advisor programs.

Our fully trained physician advisors achieve buy-in from your physicians, clinicians and support staff to create immediate workflow improvements. Our physician advisors drive organizational change to moving the hospital toward a more efficient regulatory compliance program, achieving these goals for your organization:

Improved quality of care
Lower costs
Increased revenue
Improved productivity, compliance and patient satisfaction

Customizable physician advisor programs

Our physician advisor program is customizable to meet your specific program needs. Whether you need assistance with planning and implementing a program for new or existing staff members, have an existing program that needs optimizing, or you’re looking to expand the program scope, we are available to support you through our unique and innovative models.

On-Site Physician Advisor Model

We provide you with a full-time physician advisor to act as a liaison between hospital administration, clinical staff, case managers, quality and CDI professionals. Our on-site approach includes the following services:

  • Admission Status Review
  • Denials Management
  • Peer-to-Peer Denials Assistance
  • Interdisciplinary Rounding
  • Medical necessity documentation improvement
  • Quality documentation improvement
  • Clinical documentation improvement

Hybrid Physician Advisor Model

Trained physician advisors are very difficult to identify and retain. We take the pressure off the recruitment process by providing a qualified, full-time, on-site physician advisor to fill the role while you search your internal resources. Our physician advisor support then moves to a traditional remote coverage model.

We work with your hospital’s administration to implement and customize your schedule in these steps:

An on-site physician advisor is provided to your facility to build rapport with your team and identify initiatives.
Once established, we support your own dedicated physician advisor with 24/7 remote support for after hours and weekends cases.

Regulatory issues and payor rules are constantly evolving. Partnering with our physician advisor network will ensure your hospital is empowered to stay in compliance with both government and commercial payors. Contact us for more information on our proven physician advisor programs.

Our Services

We break down departmental silos in hospital organizations through the unification of clinical documentation across quality, utilization, denials and CDI.

Physician Advisor Programs

Quality

  • Patient Safety Indicators
  • Hospital Acquired Conditions
  • Mortality Risk Adjustment Optimization

Utilization

  • Status Assignment
  • Medical Necessity
  • Extended Stay Reviews

Denials

  • Peer to Peer Support
  • Appeals Support
  • Contract Review

CDI

  • Documentation Education
  • Case Reviews
  • Query Support

LTAC Documentation

IRF Education

Speaking Engagements

Get Credit For The High-Quality Care You Provide!