With health care organizations plagued by mounting financial and regulatory pressures, utilization review plays an increasingly critical role. Physician advisors performing second-level reviews play a key role in maintaining clinical, compliance and revenue integrity. Their reviews must be accurate and defensible to help ensure proper patient care and correct reimbursement
In this on-demand webinar, learn best practices on utilization review, including:
- Lines of business performing utilization management reviews and the laws and regulations that must be adhered to
- Factors affecting utilization review beyond just inpatient versus outpatient/observation
- Dive deeper on those laws, regulations and other government guidance
- Provide recommendations to improve accuracy of reviews