The Triple Impact of Effective Utilization Management
Utilization management is more than a compliance function. It’s a combination of financial health, clinical integrity and team performance.
Getting It Right Up Front: How Utilization Management Drives Better Outcomes
Explore the impact of documentation, staff education and dedicated support on utilization management programs.
Is Your Utilization Management Department Suffering with Staffing Challenges?
Staffing challenges impact utilization review, affecting denial rates and reimbursement. Discover the importance of having a strong utilization management program.
Health System Nets Additional Revenue of $42M through Utilization Management Outsourcing
Learn how one health system partnered with McBee resulting in a $42M+ increase in net revenue and a reduction in LOS by .50 days.
Utilization Review: The impact of quality reviews
Learn the importance of a comprehensive Utilization Management process and the benefits including a decrease in denials, improved revenue and more.
Utilization Review Program Recovers $1.8M in Revenue
The Utilization Review (UR) function in the emergency department (ED) serves as a critical component to ensure whether a patient is placed as inpatient or observation. Establishing the UR team to manage patient status at the point of admission is imperative to minimizing denials down the line. Too often, hospitals waste time and money by [...]
Utilization Management Engagement Recovers $1.8M in Additional Revenue in the First 90 Days
By implementing improved processes, physician and staff education, tailored operations strategies and increased admission reviews, this engagement slashed observation rates by a third. As a result of working with utilization review staff to achieve correct patient status assignments, the health system experienced a $1.8M revenue improvement in the first three months of the engagement.
Reasons to Centralize Utilization Review Functions
Centralizing Utilization Review Functions is a cost-saving quality improvement measure, closes gap in coverage due to inter-rater reliability. Many forward-thinking organizations recognize the negative financial impact of inaccurate or non-existent UR. Learn how it's worked for a large, newly formed health system...