With medical necessity denials on the rise, getting utilization review right is increasingly important for provider organizations to achieve revenue integrity goals. The physician advisor is a key ingredient in an effective utilization review program, but “how” you utilize a physician advisor can make a big difference. Learn how one hospital redefined the role of their physician advisors to better manage case reviews and appeals to improve their revenue integrity program.
· Understand the innate challenges of in-sourced physician advisor programs.
· Explore how physician advisors are utilized for the greatest revenue cycle impact.
· Learn utilization review best practices.