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.
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.
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.
Healthcare auditing plays a crucial role in ensuring the delivery of quality care and adherence to standards within healthcare organizations. By systematically assessing performance, healthcare audits provide valuable insights into areas of success and areas that require improvement. Let's explore the importance of healthcare auditing in more detail.
Medicare Advantage growth aggravates prior authorization burdens in several ways. Most medical groups, providing care to patients with Medicare Advantage plans, must comply with more prior authorization requirements.
Hospital Safety Grades released, by the Leapfrog Group, a national nonprofit watchdog organization that advances patient safety in hospitals, the fall 2022 results.
Avoiding HIPAA violations goes beyond air tight technical system controls. Often the leaks and violations come through the human elements of healthcare operations.
More than 25 years after the first federal mental health parity protections were put in place, adequate coverage for behavioral health (BH) care, including both mental health and substance use conditions, remains elusive for many consumers with health insurance.
BHM announced that it has been awarded re-accreditation as an Independent Review Organization from URAC
Recruiting and retaining qualified Medical Directors and Chief Medical Officers challenge healthcare organizations of all types. Whether you employ or contract these medical professionals, consider two recent cases as reminders of potential issues far different than recruitment and retention and considerably more financially damaging. Significant risks beyond recruitment exist and staying informed about new Stark Law rulings pays.