Physician Advisory Services

Our team of Physician Advisors is available to consult with attending physicians and staff on various aspects of a patient's stay that could impact receipt of the appropriate reimbursement. We have numerous practicing physicians on our staff assisted by experienced RNs who understand the complex issues that impact what hospitals are paid.

Services Include:

• Level of Care Consulting
• Continued Stay Management
• Documentation Consultation

One of the primary hospital solutions we offer at MedManagement is helping hospitals to ensure that all patients are classified in the appropriate level of care so  hospitals can receive full and correct payment for services provided to patients. Our hospital management solutions include hands-on training and compliance resolution from our Physician.

Our clinical hospital compliance solution team includes board-certified practicing physicians assisted by clinical documentation specialists, and experienced RNs who understand the complex, criteria-based issues around Medicare and Medicaid reimbursement.

Our Physician Advisors are trained to review the medical records and apply medical judgment to the determination of inpatient vs. outpatient (observation services) level of care (which can have a dramatic impact on what hospitals are paid). They are effective at communicating with the attending physicians and discerning the most appropriate site of service. Since they are physicians who know the challenges that go along with a busy medical practice they approach each review with an understanding that is evident to the attending physician.

The collaborative approach of our Physician Advisors with attending physicians advances the goal to document appropriate level of care and therefore, assists the hospital in obtaining correct payment for the services rendered. These hospital solutions will not only improve your hospital’s bottom line but also implement and encourage a strong compliance program.  

Our hospital solutions and services include:

• Level of Care Consulting
• Continued Stay Management
• Documentation Consultation
• RAC Preparedness Solutions
• RAC Audits
• RAC Appeals
• Inpatient Rehab Facilities (IRFs)
• Utilization Review

 

The comprehensive hospital solutions available from MedManagement can increase the average amount of payment for services, and improve hospital compliance procedures. For more information on our hospital solutions, please contact us today.