While physician advisors (PA) and revenue integrity staff have separate roles and responsibilities, they share many of the same goals, says Anuja Mohla, DO, FACP, MBA, ACPA-C, CHCQM-PHYADV, system medical director of utilization management at ChristianaCare in Newark, Delaware....Read More »
After receiving negative feedback from industry stakeholders on its new reimbursement approach for certain inpatient Medicare Advantage (MA) claims, Aetna recently extended the policy’s implementation date.Read More »
Irene Sachakov, CHRI, CRCR, CSPR, CSAF, discusses the critical role of collaboration between revenue integrity and managed care contracting.Read More »
Healthcare organizations are submitting more prior authorization requests to Medicare Advantage (MA) plans than they once were, and more of their requests are getting denied, according to a recent...Read More »
