Part 3: The CMS Final Rule was not surprising at all. The Final Rule pulled back the curtain and provided valuable information for providers, and in this workshop, the physician-led experts at Corro Clinical will present how the Final Rule’s clarifications can help you solidify core elements of your payer strategy, contracts, and measures for accountability.
Article originally...
Payers have a relentless pursuit of profit margin; meanwhile, most hospitals continue to operate in the red. Medicare Advantage and so-called “frictionless healthcare” are adding to the confusing ways payers behave, muddying the waters and masking denials. So, what can providers do about it? This workshop will present strategies that will help you get your house in order, hold accountabilities, enforce your rights, and escalate payer issues – all with the goal of changing payer behavior. Learn more about payer behaviors today evolving payer behaviors that are on the horizon.
On April 5, 2023, CMS issued the 2024 Medicare Advantage and Part D Final Rule (CMS-4201-F), giving the industry explicit guidance about utilization management criteria. Corro Clinical is here to help.
CMS Has Issued the 2024 Medicare Advantage and Part D Final Rule
Providing Explicit Guidance to the Industry
CorroHealth and...
Utilization Management...
As a Medical Director, Concurrent Review for Versalus Health, you’ll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform concurrent clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.
As a Medical Director, Concurrent Review for Versalus Health, you’ll have the unique opportunity to evaluate hospitalizations across the country while utilizing your medical knowledge and gaining experience as an expert advisor to Versalus Health’s client hospitals. You will perform concurrent clinical case reviews and provide recommendations that focus on establishing the appropriate admission status. Versalus Health offers a career path that allows you to continue using your clinical knowledge, drive value to hospitals while providing you with a predictable schedule. This opportunity allows for the work/life balance you desire while expanding your knowledge base in Utilization Review.
Jay Ahlmer Named...
Join us for an overview of CMS HCC risk adjustment fundamentals for the inpatient clinical documentation specialist and coder. We will review the top ten commonly under-reported diagnoses that map to a CMS HCC, review how risk scores are calculated, impact payment, and benefit from improved clinical documentation and comprehensive coding.
Utilization Management...
