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EHR Solutions

The following EHR solutions are delivered through expert Physician Advisors who are specially-trained in Medicare and Medicaid rules and regulations pertaining to observation and inpatient status. Today, EHR employs more than 900 Physician Advisors who average 10 years post-residency experience and represent more than 60 medical and surgical specialties. EHR's Physician Advisors are available 7 days a week, 365 days a year, to help hospitals effectively manage clinical care and maintain regulatory compliance.

Concurrent Governmental Payor Clinical Medical Necessity Compliance
  • Real-time Medicare and Medicaid Medical Necessity Certification & Clinical Compliance Management
    • Inpatient & Observation Review & Certification
    • Cardiology Procedure Review & Certification
    • Readmission Review & Certification
    • Continued Stay Review
Retrospective Governmental Payor Appeals Management
  • Medicare & Medicaid Denials & Appeals Management
    • Recovery Audit Contractor Denials & Appeals Management
    • Medicare Administrative Contractor (MAC), Medicaid Integrity Contractor (MIC), Quality Improvement Organization (QIO) Denials & Appeals Management
Managed Care/Commercial Payor Appeals Management
  • Proactive Real-time Admission Review
  • Concurrent Payor Denials Management
  • Retrospective Payor Denials Management & Appeals
Expert Advisory Services
  • RAC Readiness Assessment
  • Compliance Process Improvement Assessment
  • Specialty Audit Services – Cardiology Procedures, Kyphoplasty
  • Department of Justice (DOJ) and Zone Program Integrity Contractors (ZPIC) Investigation Consultation

  • The combination of EHR's cutting-edge Physician Advisor team model, advanced technologies, EHR Logic methodology, and best-in-class portfolio of solutions results in a unique offering that no other company in the healthcare industry today can offer.

    Click here to learn more about The EHR Physician Advisor Advantage.



    Concurrent Medical Necessity Compliance Management

    Retrospective Governmental Payor Appeals Management

    Managed Care Denials Management

    Expert Advisory Services




    EHR Compliance Library

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