Research Library

The top resource for free research, white papers, reports, case studies, magazines, and eBooks.

Share Your Content with Us
on TradePub.com for readers like you. LEARN MORE
The Evolution of Utilization Review and Its Impact on Revenue Integrity
Request Your Free White Paper Now:

"The Evolution of Utilization Review and Its Impact on Revenue Integrity"
Request

HOW MODERN TECHNOLOGY FIXES TRADITIONAL UR'S PROBLEMS

Existing utilization review (UR) paradigms are no longer suitable for addressing the changing commercial payer denial landscape and the obligations placed on case managers as a result of value-based reimbursement (VBR). As this whitepaper shows, new processes and technologies that leverage artificial intelligence (AI) can simplify UR efforts and shift case manager attention to improving the quality measures upon which VBR depends.

Learning points include:

  • Using AI for reducing manual initial case stratification
  • Eliminating case referral risk
  • Refocusing staff to higher value tasks
  • Using physician advisors in the most effective way
  • Getting key information quicker and earlier in process


Offered Free by: Optum
See All Resources from: Optum

Request

Recommended for Professionals Like You: