Integrates into Your Workflow Latest MCG or InterQual® Criteria Eliminates Next-Day UR Flexible Coverage Options Comply with Two Midnight Rule

Integrates into Your Workflow

Latest MCG or InterQual® Criteria

Eliminates Next-Day UR "Catch Up"

Flexible Coverage Options

Comply with Two Midnight Rule

Initial-Level Admission Review Services

The 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.

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PHS and IPPS

Learn how Proven Healthcare Solutions can help you comply with The Two Midnight Rule.