Clinical Operations Improvement

Ensuring Healthcare Compliance: Navigating the Complexities

2023-07-14T10:34:45-04:00By |Clinical Analysis, Clinical Operations Improvement, Compliance, Health Care Reform, HIPAA|

Healthcare compliance is a critical aspect of the healthcare industry, ensuring adherence to federal healthcare laws and regulations. It plays a vital role in preventing fraud, abuse, and waste, while upholding ethical standards for patient treatment. However, healthcare compliance is not a simple or straightforward task.

Clinical Peer Review’s Role in Modern Performance Management

2024-02-07T07:50:18-04:00By |Clinical Analysis, Clinical Operations Improvement, Staff, Trends|

Clinical peer review in modern performance management requires a secure, easy-to-use software system. Peer reviews are a form of performance evaluation that involve feedback from colleagues within the same profession or industry. In the healthcare industry, peer reviews are commonly used to evaluate the performance of clinical staff, including physicians, nurses, and other healthcare professionals.

Behavioral Health Linked to 70% Increase in Healthcare Spending

2019-09-04T22:08:26-04:00By |Behavioral Health Integration, Clinical Analysis, Clinical Operations Improvement, Uncategorized|

Many of your most challenging claims and cases likely present a behavioral health component. Due to the behavioral healthcare shortages described in this blog, BHM offers a reviewer network with the most sub-specialties. 6 of the top 10 largest health plans entrust BHM for peer reviews.  CLICK HERE to learn more about how BHM helps your organization curb behavioral health costs.

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