Sponsored by: Optum
Today, hospitals face growing pressure from government and commercial payers to manage their utilization of services and provide justification for clinical decision-making in line with evidence-based practices.
Physician advisor programs have emerged as a way for hospitals to achieve their financial and quality goals by streamlining communication between clinicians, case managers, and other non-clinical staff. Physician advisors play a key financial role in utilization review (UR), clinical documentation improvement (CDI), and denial management by reducing administrative costs and ensuring providers are reimbursed appropriately.
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