Readmissions Management Experts

Strengthening Care Through Physician Peer-to-Peer Reviews

2023-09-28T15:47:51-04:00By |Physician Advisor/Peer Review, Readmissions, Revenue Cycle Improvement, Staff, Utilization Management|

The healthcare industry has embraced a collaborative approach that is gaining significant traction—physician peer-to-peer reviews. In this comprehensive exploration, we will delve into the significance of physician peer-to-peer reviews, their role in enhancing healthcare, and how they strengthen the bonds within the medical community.

Physician Advisor Reviews Improve Patient Outcomes

2023-10-31T14:19:34-04:00By |Physician Advisor/Peer Review, Readmissions, Revenue Cycle Improvement|

Physician advisor (PA) reviews play a crucial role in improving patient outcomes by facilitating various processes within healthcare organizations. PAs act as liaisons between hospital administration, clinical staff, and support personnel to ensure compliance with regulatory issues, advise physicians on medical necessity, and help achieve overall organizational goals related to the efficient utilization of healthcare services. Physician advisors contribute to better patient outcomes through several key activities.

CMS Star Ratings Major Setback for 2 Insurers

2022-11-10T19:16:20-04:00By |Readmissions, Utilization Management|

The federal government hit CVS Health and Centene with lower quality scores for the health-insurance plans they sell to seniors. Star Rating scores are a big deal for health insurers, because plans that score 4 stars or higher receive bonus payments from the federal government that they can use to edge out competition by funding new health-plan benefits to attract more customers.

Pharmacy May Be The Answer To Reducing Healthcare Costs

2017-04-02T13:28:16-04:00By |Financial, Financial Analysis, Readmissions, Revenue Cycle Improvement|

Back in March, we talked about how the role of the pharmacist in the healthcare ecosystem has been expanding over the past decade. In addition to simple medication fulfillment, pharmacist now complete crucial patient aftercare, education, and vaccination administration. Many believe as the role of the pharmacist expands, they could become the key to reducing all kinds of healthcare costs. Here are three ways pharmacy is helping save costs for healthcare.

5 Ways The Expanding Role of the Pharmacist Is Changing Healthcare

2023-08-12T16:43:24-04:00By |Accreditation, Financial, Readmissions, Revenue Cycle Improvement, Strategic Planning|

The role of the pharmacist in the healthcare industry has been expanding over the past decade, from simple medication fulfillment to crucial patient aftercare, education, and administering vaccinations. 2015 has already seen big changes within the healthcare industry and we predict that the role of the pharmacist will only expand more.

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