Innovative Approaches To Compliance Reviews: A Playbook for Healthcare Payers
Discover innovative compliance reviews approaches to streamline workflows for healthcare payers. Read our latest Insight post.
Meet Our Speaker: Dr. Quionna M. Tinney MD
Join BHM Healthcare Solutions and our speaker, Dr. Quionna Tinney, board-certified Psychiatrist with a specialized fellowship in Child & Adolescent Psychiatry, as she presents insights and strategies to help […]
Provider’s Guide To Staying Ahead of Compliance Trends
Stay ahead of compliance trends with insights on CMS 0057-F and upcoming regulations.. Trust BHM to keep you in the know.
Navigating Complex Coverage Decisions: Expertise for Payers to Optimize
Master strategies for payers to optimize outcomes in complex coverage decisions. Join us for valuable insights and expertise.
10 FAQs About The CMS Final Rule-0057-F
Discover answers to key questions about the CMS Final Rule for payers & providers. Stay compliant and informed with BHM Healthcare Solutions.
NAIRO Best Practices in Ensuring Quality Medical Reviews
Discover the role of NAIRO best practices in elevating medical reviews. Unleash excellence with advanced and independent reviews!
Understanding Medical Necessity: Key Factors and Guidelines
Medical necessity, a term holding immense importance in the world of healthcare. It serves as the cornerstone for decision-making in medical treatments and procedures. In this comprehensive exploration, we will delve into the concept of medical necessity, its significance in healthcare, key factors that determine it, and guidelines that govern its application.
The Role of Medical Director Services in Modern Healthcare
Medical director services, often abbreviated as MDS, serve as the guiding compass that helps healthcare facilities navigate the complex maze of regulations, quality assurance, and patient-centric care.
Art of Utilization Review: Balancing Care and Resources
Utilization review involves evaluating the appropriateness and necessity of medical services to ensure that patients receive care that aligns with their needs while also managing costs. This blog explores the art of utilization review, highlighting its significance in achieving optimal patient care outcomes while balancing resource utilization and quality.
Choosing a Credentialing Expert: A Guide to URAC Accreditation Consulting
Maintaining high standards and quality care is paramount. Achieving URAC accreditation is a testament to an organization's commitment to excellence. URAC accreditation consulting provides invaluable guidance throughout this process, ensuring compliance with rigorous standards.