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 nearly 600 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.
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