Are You Holding Your Payers Accountable?

We’ve seen major changes in healthcare finance over the years. Clinical denial information is more detailed, clearer, and timelier than...

InterQual® vs. Milliman Care Guidelines

On May 1, 2021, UnitedHealthcare (UHC) will transition its utilization management approach for all its health plans from Milliman Care...

Addressing Rising Denials In 2021

Causes – And Solutions – For Revenue Challenges In today’s current environment, hospitals face more denied claims for clinical reasons...