BHM Blog
Sharing what we learn begins here
5 Strategies For Payer Efficiency Growth with Medical Necessity Criteria
2024-04-18T15:38:52-04:00By Brandon Ruse|Clinical Operations Improvement, Utilization Management|
Learn strategies for maximizing payer efficiency with medical necessity criteria. Manage costs, ensure quality care, and comply with regulations effectively.
The Power of Peer Review Networks For Payers
2024-04-16T15:03:56-04:00By Brandon Ruse|Payer Trends, Peer Review networks|
Discover the transformative impact of peer review networks for payers. Learn how these networks drive informed decisions and ROI.
How To Write a Letter of Medical Necessity
2024-04-11T15:56:59-04:00By Brandon Ruse|Quality Improvement Programs, Utilization Management|
Learn key strategies for crafting a compelling Letter of Medical Necessity (LMN) in healthcare. Boost approval chances!
10 FAQs About The CMS Final Rule-0057-F
2024-04-11T11:47:41-04:00By Brandon Ruse|Compliance, Health Care Reform|
Discover answers to key questions about the CMS Final Rule for payers & providers. Stay compliant and informed with BHM Healthcare Solutions.
10 Frequently Asked Questions About Independent Review Organizations
2024-04-02T15:11:44-04:00By Brandon Ruse|IRO, Physician Advisor/Peer Review|
Discover the role of independent review organizations (IROs) in healthcare decisions. Our blog answers top FAQs about IROs, providing insights into their significance and process.
7 Steps to Maximize Effectiveness During Peer Review Calls
2024-04-03T11:38:25-04:00By Brandon Ruse|Physician Advisor/Peer Review, Trends, Utilization Management|
Discover best practices for maximizing effectiveness in healthcare payer peer review calls. Improve care quality with structured approaches.
Behavioral Health Utilization Review: Improving Patient Outcomes
2024-04-03T11:37:59-04:00By Brandon Ruse|Physician Advisor/Peer Review, Utilization Management|
Discover how BHM Healthcare Solutions improves outcomes with expert utilization review behavioral health services. Enhance patient care today.
Denial Management Mastery: A Practical Guide to Effective Implemention
2024-03-21T11:49:37-04:00By Brandon Ruse|Health Insurance, Operational Analysis, Physician Advisor/Peer Review|
Discover the art of denial management in healthcare with our practical guide. Master best practices to optimize revenue and enhance operations.
Employer Health Plan Strategies: 5 Strategic Insights for Payers
2024-03-19T15:19:49-04:00By Brandon Ruse|Health Insurance, Payer Trends, Strategic Planning|
Learn key challenges in managing employer health plans, including cost management and compliance. Discover strategies to overcome hurdles.
7 Steps to Successfully Achieve URAC Accreditation
2024-03-14T14:12:04-04:00By Brandon Ruse|URAC Accreditation|
Discover the seven key steps your organization can take to earn the URAC accreditation. From gap analysis to creating a focused action plan, we’ve compiled the latest best practices to help your team move forward.