Service

Utilization Management Services

A revenue integrity service for providers who want to use prospective reviews to select the right care settings for optimized reimbursement.

 

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AlignCare Needs With Reimbursement Requirements

  • Help ensure that patients receive the most appropriate level of care while reducing your risk of medical necessity denials
  • Implement concurrent authorization services for admissions 
  • Expand the number of cases you review, and focus on length of stay and highly complex cases that need specific clinical expertise
  • Conduct placement-status reviews using InterQual® or another evidenced-based, clinical decision-making tool
  • Apply additional scrutiny when decision-support tools conflict with a physician’s clinical judgement, helping ensure additional documentation for medical necessity of care
  • Track the ROI by using our reporting and analytics to keep you informed of performance 

Utilization Management in Healthcare

  • A Flexible Resource Customized to Your Needs

    • Engage our services to augment your existing staff or use our team as a complete solution. 
    • We can also provide a bridge to in-sourcing by educating and training your team, helping you build a strong internal prospective review program. 
    • We track and report on several key performance indicators so you can both assess ROI and drive continuous quality improvement in utilization management.

Our outcomes

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Article

Debunking myths about using vendors to manage the revenue cycle

Article

Debunking myths about using vendors to manage the revenue cycle

4 common myths about revenue cycle management outsourcing debunked.

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On-demand Webinar

Middle revenue cycle technology that provides strategic value

On-demand Webinar

Middle revenue cycle technology that provides strategic value

Middle revenue cycle technology that provides strategic value

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e-Book

A 2-stage Approach Links Pre- and Post-service Analysis

e-Book

A 2-stage Approach Links Pre- and Post-service Analysis

Learn how utilizing a coverage discovery solution in addition to eligibility verification helps you uncover hidden payment sources to drive bottom-line results.

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  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

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Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.