Care Coordination Experts

Enhancing Collaboration in Medical Necessity Criteria

2024-02-07T08:08:12-04:00By |Care Coordination, Clinical Operations Improvement, Healthcare Independent Review, Operational Analysis, Revenue Cycle Improvement, Uncategorized|

Collaboration between healthcare providers and payers is instrumental in navigating the complexities of medical necessity criteria. By fostering a cooperative environment, both parties can work together to ensure that medical decisions align with the best interests of the patient.

Navigating a Medical Necessity Review: Process and Considerations

2023-09-21T14:47:42-04:00By |Care Coordination, Clinical Analysis, Clinical Operations Improvement|

The medical necessity review plays a crucial role in maintaining the quality, efficiency, and cost-effectiveness of healthcare delivery. In this comprehensive guide, we will delve into the intricate process of medical necessity reviews, highlighting their significance, key considerations, and how they influence patient care and reimbursement.

Unlocking the Power of Healthcare Case Management

2023-08-31T15:11:16-04:00By |Care Coordination, Lean Management, Operational Analysis, Utilization Management|

Nowhere is balance more evident than in the domain of case management, where the thorough examination of patient cases serves as the bedrock of informed healthcare decisions. Unlocking the power of healthcare case management requires optimizing both the efficiency of the process and the effectiveness of patient outcomes.

Advancing Healthcare through Physician Peer-to-Peer Collaboration

2023-08-22T17:42:23-04:00By |Care Coordination, Clinical Analysis, Healthcare Independent Review|

The challenges faced by healthcare professionals have become increasingly complex, demanding innovative solutions that go beyond traditional approaches. One such solution gaining traction is physician peer-to-peer collaboration—a concept that holds the potential to revolutionize healthcare delivery and drive advancements across the industry.

Psychiatrist Shortage Drives Search for Quick Solutions

2022-11-08T16:19:10-04:00By |Care Coordination, Health Insurance, Payer Trends|

Psychiatrist shortage by the numbers: The current workforce of about 45,580 psychiatrists must increase by 2,800 to meet today’s demands for psychiatric care. This works out to a 6.4 percent shortage. By 2025, that shortage could be as high as 6,090 psychiatrists, or 12 percent, according to the U.S. Department of Health and Human Services.

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