Concurrent Review Health Care
Listing Websites about Concurrent Review Health Care
Concurrent review – Health Care Professionals Aetna
(3 days ago) WEBThe concurrent review process includes: Collecting information from the care team about the person’s condition and progress. Determining coverage based on this information. Informing everyone involved in the patient’s care about the coverage determination. …
https://www.aetna.com/health-care-professionals/utilization-management/concurrent-review.html
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Utilization Management in Healthcare Smartsheet
(7 days ago) WEBConcurrent Review: This type of review occurs during the course of treatment and tracks a patient’s progress and resource consumption; which may cause in-process care procedures to stop. …
https://www.smartsheet.com/content/utilization-management
Category: Course Show Health
The Utilization Review Process and the Origins of …
(3 days ago) WEBConcurrent reviews include a review of medical necessity decisions made while the patient is currently in an acute or post-acute setting. Retrospective reviews involve a review of coverage after …
https://www.mcg.com/blog/2018/06/21/utilization-review-medical-necessity/
Category: Medical Show Health
Utilization Management - StatPearls - NCBI Bookshelf
(5 days ago) WEBUtilization Management (UM), initially referred to as Utilization Review (UR), remains a well-recognized component of a cost …
https://www.ncbi.nlm.nih.gov/books/NBK560806/
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Utilization Management, Case Management, and Care …
(1 days ago) WEBCriteria for concurrent review can vary by the organization performing the service, as long as it follows the principles of evidence-based medicine. Two recognized …
https://link.springer.com/chapter/10.1007/978-3-030-48080-6_7
Category: Medicine Show Health
Evaluating the Effectiveness of Concurrent Review: Does It I - LWW
(4 days ago) WEBQuality Management in Health Care: April/June 2017 - Volume 26 - Issue 2 - p 97-102. doi: 10.1097/QMH.0000000000000130 Concurrent review is a quality improvement …
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How Can Concurrent Reviews Benefit Patient Care and Equity?
(7 days ago) WEBConcurrent reviews are important for value-based care because they’re essentially part of patient personalization. As one Medical Economics contributor observes, patient …
https://healthcareresolutionservices.com/blog/concurrent-reviews-benefit-patient-care-and-equity/
Category: Medical Show Health
Concurrent Review Takes Care to a Whole New Level AHA
(8 days ago) WEBConcurrent review of three core measure sets has ensured appropriate and timely patient care. The hospital revised its review process from a postdischarge …
https://www.aha.org/case-studies/2016-09-16-concurrent-review-takes-care-whole-new-level
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Concurrent Review Provider Resources - WPS Health
(8 days ago) WEBConcurrent review provides the opportunity to evaluate the ongoing medical necessity of care being provided, and supports the health care provider in coordinating a customer's …
https://www.wpshealth.com/resources/provider-resources/concurrent-review.shtml
Category: Medical Show Health
NQTL: Concurrent Review - Health Alliance
(6 days ago) WEBConcurrent Review (CR) is defined as a technique for managing the appropriate utilization of healthcare services under which service claims are only …
https://www.healthalliance.org/documents/25772
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Utilization Review HowStuffWorks
(2 days ago) WEBMuch like precertification reviews, concurrent reviews are used for approval of medically necessary treatments or services. However, concurrent reviews …
https://health.howstuffworks.com/health-insurance/utilization-review.htm
Category: Medical Show Health
Utilization management as a cost-containment strategy - PMC
(3 days ago) WEBUtilization management (UM) is now an integral part of most public and private health plans. Hospital review, until recently the primary focus of UM, is associated with a …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4195135/
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Evaluating the Effectiveness of Concurrent Review: Does It Improve
(1 days ago) WEBConcurrent review is a quality improvement intervention that increases performance with stroke performance measures. Qual Manag Health Care . 2017 Apr/Jun;26(2):97-102. …
https://pubmed.ncbi.nlm.nih.gov/28375956/
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Understanding Prospective, Concurrent, and Retrospective Reviews
(4 days ago) WEBConcurrent Review. Concurrent review is a process where HCC coders analyze the patient's chart, clinical notes, and HCC codes prior to submitting claims to …
https://www.agshealth.com/blog/understanding-prospective-concurrent-and-retrospective-reviews/
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Concurrent Review - Healthcare Resolution Services
(8 days ago) WEBAs health care costs rise and medical facilities are tasked with increasing demands to provide ever more cost-effective care to their patients, third-party concurrent review …
https://healthcareresolutionservices.com/services/concurrent-review/
Category: Medical Show Health
Pre-Authorization and Concurrent Review Guidelines
(7 days ago) WEBPre-Authorization Denials. All pre-authorization denials undergo a physician review. If the member and/or the attending physician disagree with the denial, he/she may contact our …
https://www.qualchoice.com/Media/4570/pre-authorization-and-concurrentreviewguidelines_finalx.pdf
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AETNA BETTER HEALTH® Policy - Louisiana Department of …
(6 days ago) WEBA-LA 7200.05 Concurrent Review-Observation Care. PURPOSE: The purpose of this policy is to define Aetna Better Health business standards for the concurrent review …
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Horizon NJ Health QUICK REFERENCE GUIDE
(7 days ago) WEBConcurrent review and discharge planning will be conducted via telephone by Horizon NJ Health staff for all inpatient admissions. Important note: Prior to providing care for …
https://www.horizonnjhealth.com/sites/default/files/Quick_Reference_Guide.pdf
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Reference Docs A-LA 7200.05 Concurrent Review Observation …
(3 days ago) WEBDocument Type: Tool. This Amendment is written to meet regulatory and legislative requirements under Louisiana law/regulation that impact AMA 7200.05 Concurrent …
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Concurrent Care as the Next Frontier in End-of-Life Care Health
(Just Now) WEBHospice provides care for people near the end of life and their families, with a comfort-driven emphasis on managing physical and psychological symptoms, spiritual …
https://jamanetwork.com/journals/jama-health-forum/fullarticle/2808464
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Clinical Review Nurse - Concurrent Review, Oklahoma City, OK + 1 …
(4 days ago) WEBYou could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a …
https://jobs.centene.com/us/en/jobs/1497885/clinical-review-nurse-concurrent-review/
Category: Medical Show Health
The caregiver contribution to self-care of stroke inventory (CC …
(9 days ago) WEBThe caregiver contribution to self-care plays an important role in improving the health outcomes of chronic patients, which needs urgent attention. However, it has …
https://bmcnurs.biomedcentral.com/articles/10.1186/s12912-024-01964-3
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What is health equity? How the idea grew – and why it matters
(9 days ago) WEBNo matter how you look at health equity, the conversation involves contradictions. But at its core are fundamental questions about illness and health, say …
https://www.heart.org/en/news/2024/04/24/what-is-health-equity-how-the-idea-grew-and-why-it-matters
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PHYSICIAN CHECKLIST - Horizon BCBSNJ
(5 days ago) WEBPlease review, complete and sign the appropriate Agreements for the network(s) in which you are seeking participation. Horizon Healthcare of New Jersey, Inc. Agreement with …
https://www.horizonblue.com/sites/default/files/2019-09/32214_physician_checklist.pdf
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ADVANCE DIRECTIVE FOR HEALTH CARE - Englewood Health
(2 days ago) WEBYou will receive appropriate medical care whether or not you have an Advance Directive. Englewood Hospital and Medical Center Patient Relations Department 350 Engle Street …
https://www.englewoodhealth.org/wp-content/uploads/2015/06/AdvanceDirective-instructions.pdf
Category: Medical Show Health
Preventing the Next Big Cyberattack on U.S. Health Care
(8 days ago) WEBThe cyberattack on Change Healthcare that devastated the U.S. health care sector made painfully clear that much more needs to be done to address vulnerabilities …
https://hbr.org/2024/05/preventing-the-next-big-cyberattack-on-u-s-health-care
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AAMC study examines the impact of health care consolidation in …
(4 days ago) WEBThe top three large-group insurers control an average of 82.2% of the market share in each state, nearly twice the combined average market share of each state’s …
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Hudsonview Health Care Center - Seniorly
(3 days ago) WEBHudsonview Health Care Center. 9020 Wall Street, North Bergen, NJ 07047. Calculate travel time. Nursing Home. Compare. For residents and staff. (201) 861-4040. For …
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Senior Clinical Review Nurse - Concurrent Review, Little Rock, AR …
(1 days ago) WEBPosition Purpose: Assesses and reviews complex concurrent reviews, including determining member's overall health, reviewing the type of care being …
https://jobs.centene.com/us/en/jobs/1496592/senior-clinical-review-nurse-concurrent-review/
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Biden Administration Expands Health-Care Coverage for ‘Dreamers’
(9 days ago) WEBBiden said he is ‘proud of the contributions of Dreamers to our country and committed to providing Dreamers the support they need to succeed.’
https://www.nationalreview.com/news/biden-administration-expands-health-care-coverage-for-dreamers/
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UnitedHealth CEO Andrew Witty testifies on Change Healthcare …
(1 days ago) WEBAfter detecting the hack in February, UnitedHealth shut down Change Healthcare’s networks, cutting off pharmacies, hospitals and health-care providers …
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Opinion The Question of Transgender Care - The New York Times
(6 days ago) WEB1334. By David Brooks. Opinion Columnist. Hilary Cass is the kind of hero the world needs today. She has entered one of the most toxic debates in our culture: …
https://www.nytimes.com/2024/04/18/opinion/transgender-care-cass-report.html
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Court says state health-care plans can’t exclude gender-affirming
(Just Now) WEB5 min. A federal appellate court in Richmond became the first in the country to rule that state health-care plans must pay for gender-affirming surgeries, a major win for …
https://www.washingtonpost.com/dc-md-va/2024/04/29/gender-affirming-surgery-state-health-care-plans/
Category: Health Show Health
Walmart shutting down its 51 health care clinics, virtual care …
(7 days ago) WEBWalmart to close its 51 health centers and virtual care service. FILE - A shopper loads her car after shopping at a Walmart in Pittsburgh, Thursday, Feb. 22, …
https://apnews.com/article/walmart-9efab27776a4aa0875a89b8f0d57066c
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