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Real Questions
4
Hospitals

  • Hospitals: Simplify the Complex... with less

  1. Why are you still struggling with compliant DRG and discharge documentation/coding?

  2. Why are you still struggling with compliant Admit criteria vs. Ob stay documentation?

  3. Why are you still struggling to close care gaps for discharge medication prior auth?

  4. Why are you still struggling with CPT, HCC, HCPCS, ICD10CM/PCS, POA, SDOH coding?

  5. Why are you still having to reschedule patient visits due to lack of prior auth?

  6. Why are you still having to cancel imaging, infusions, & surgery due to prior auth?

  7. Why are you still struggling with emergency department admit vs. discharge criteria?

  8. Why are you still not getting prior auth fixed right at the start for hospital practices?

  9. Why are you still struggling with CPT, HCC, HCPCS, ICD10CM/PCS, and SDOH coding?

  10. Why are you still having to worry about RAC audits for LCD medical necessity criteria?

  11. Why are you still having to worry about pre-payment reviews or post-payment audits?

  12. Why are you not using automated cognitive audit tools for coding & medical necessity?

  13. Why are you still having to abandon care due to lack of prior auth?

How did you get here?

Don't Ask...

But you are here... fix it!

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