Be Knowledgeable About Hospital’s Payer Contracts: Make your voice heard about utilization management components

    loading  Checking for direct PDF access through Ovid


To prevent denials, case managers must know the requirements of each individual payer. But at some hospitals, the finance and/or managed care departments don’t provide case management with the utilization review section of the contract where the rules are outlined.

Related Topics

    loading  Loading Related Articles