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Hospital Utilization Management Can Reduce Denials, Improve Care

Hospital Utilization Management Can Reduce Denials, Improve Care Utilization management in healthcare is commonly thought of as a strategy that payers employ to control resource use within physician offices and hospitals to keep healthcare costs down. However, hospital utilization management programs are also an essential part of a provider organization’s revenue cycle, helping to prevent…

What Is Utilization Management In Healthcare

What Is Utilization Management In Healthcare? Utilization management is the practice of evaluating and monitoring the use of healthcare services to assess their appropriateness and quality. Streamlining processes like UM can significantly impact your bottom line as healthcare organizations become increasingly conscious of operational costs.  But what does that mean in real terms?  Here, we'll…

Denial management for hospitals Win by engaging every revenue cycle department

Denial management for hospitals: Win by engaging every revenue cycle department We’ll explore how various departments impact revenue and explain how to tailor your denial management approach for different roles in your organization. What is denial management in healthcare? Denial management in medical billing refers to the strategic process of analyzing, correcting, and preventing claim denials.…