Learn how Versalus Health’s innovative appeal solutions can drive increased revenue for your hospital.
Leveraging Key Insights From Data Analysis Data is full of potential, but on its own, it's just numbers. With the right partner, these numbers — denial rates, inpatient rates, CMI, and more — are transformed into insights to guide hospital and health system’s...
: Versalus Health’s Documentation and Coding Integrity Program uses a data-driven approach to empower DRG case reviews.
Today’s hospitals and health systems require physician clinical expertise tied to in-depth knowledge of documentation best practices, length of stay management, quality, contracting, billing, and compliance, among other disciplines. Hospitals and health systems have invested significantly in building internal Physician Advisor teams to address these needs.
Regulatory compliance is a complex issue for many healthcare facilities, especially as new, updated regulations supersede old ones. Hospitals and health systems may find it challenging to stay up to date with regulatory changes impacting Utilization Management (UM) and the clinical revenue cycle and determine the implications of these regulatory changes on the organization’s processes. Fortunately, Versalus Health can assist your organization with keeping up to date with regulatory changes. We keep our finger on the pulse of regulatory oversight, helping facilities understand the newest regulations, their implications for the Clinical Revenue Cycle , and the latest trends in audits
Hospital utilization management teams ensure patients get the proper care and services they need in compliance with regulations and payer contracts without overusing resources. Lying at the intersection between clinical decisions, documentation, regulations, payer...
See What Some of Our Clients Have to Say
“The Versalus Health partnership resulted in our patients being placed in the correct status. Subsequently, we reduced inappropriate short inpatients stays, and inappropriate long observation stays which resulted in a positive financial impact of $12 Million in just over 4 months, so the program is working very well.”
Michael Burke, EVP and CFO Prisma Health
“Unlike my experience with [vendor name excluded], Versalus partners with our UM team to improve our workflow and ensure that we focus on the highest risk and highest opportunity cases. Versalus analytics provide us the visibility we need to continuously improve. It’s no longer about how many cases they or we review. It is about the right review on the right case at the right time that improves our compliance and healthcare revenue integrity outcomes.”
“Traditionally, utilization management (UM) has not been viewed as an integral part of the hospital revenue cycle. I selected Versalus to help me in my dual role as Director of Revenue Cycle and UM. Versalus brought the visibility I needed to manage the complexities between UM, billing, reimbursement, and compliance. They helped me identify high priority issues, fix them quickly, track our progress or any deviations and address them promptly. Our ROI on their program has been impressive and our providers and leaders have been extremely receptive and happy with the partnership.”