In the new era of an alphabet of healthcare oversight including – Recovery Audit Contractors (RACs), Medicare Administrative Contractor (MACs), Comprehensive Error Rate Testing (CERTs), Payment Error Rate Measurement (PERMs), the Office of the Inspector General (OIG), the Office of the Medicaid Inspector General (OMIG), Managed Care Organizations (MCOs), and many others Proven Healthcare Solutions’ Admission Review Management Service provides hospitals and healthcare systems a flexible, cost-effective, turn key solution to address the ever-challenging requirements of ensuring real time, point of service medical necessity review determinations of patients coming in through the Emergency Department. This includes utilization review using the latest evidence-based screening criteria to determine the right level of care to be provided to these patients- inpatient, outpatient observation status or discharge for outpatient follow-up.
Proven Healthcare Solutions is an industry leader with more than 30 years experience focusing on hospitals and healthcare systems. Our multi-disciplinary leadership and management team bring the experience of providing expert solutions to the operational, compliance, and clinical challenges faced by hospitals and healthcare systems.
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