Executive Health Resources | The Physician Advisor Company (TM)

Commercial Payor Concurrent Clinical Denials Management

EHR Physician Advisors work with hospitals to overturn commercial payor clinical denials before a patient leaves the hospital. EHR Physician Advisors have experience in dealing with payors nationwide, reviewing more than 200,000 denial cases at the point of care. This experience and consistency in approach holds payors accountable and reduces the impact of inappropriate denials on accounts receivable.

In addition, if denials arise due to physician documentation issues, EHR’s Physician Advisors teach physician staff how to document appropriately to avoid denials and maintain compliance. This documentation training - at the point of service - focuses on establishing and documenting a goal-oriented plan of care.