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Utilization Management
Northeast Health System
OVERVIEW Northeast...
Regulatory Compliance
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
Utilization Management
Hospital utilization...
Don’t Use Denial Rate to Measure a Payer’s Performance
By Jerilyn Morrissey,...
Will Medicare Beneficiaries pay more for a procedure no longer on the Inpatient-Only List?
There is still a lot of...
The Addition of Total Knee Arthroplasty (TKA) to the PEPPER Will Be of Little Use to Hospitals
Much ado is being made...
1135 Waivers: When do they expire?
These waivers, known as...
Chasing KPI’s: How Department Metrics Undermine Hospitals’ Medicare Advantage Performance
If you follow politics,...
Not Hitting Your Revenue Cycle Benchmarks? Look at Utilization Management.
It is a truism that...
The Role of the Physician Advisor in the Observation Rate Conversation
By Jerilyn Morrissey,...