Initial-Level Admission Review ServicesThe need for hospitals to comply with state, federal and commercial payers has never been greater. Medicare and Medicaid Recovery Auditors are increasing their activity; payers are increasing their focus on pre-admission screening for medical necessity; and case managers have increased pressure to transition patients from the hospital to the community setting while reducing readmissions. Hospitals are struggling to provide 24/7/365 coverage for admission review.
The best defense against inappropriate denials is a consistent admission review process that seamlessly integrates into your normal workflow. Proven Healthcare Solutions’ real-time, remote nurse-level admission review service ensures that objective, standardized criteria are applied to place patients in the appropriate care setting from the beginning.