Preventing Medical Necessity Denials KAREN HOPPE Although all hospitals must comply with a Medicare requirement that services provided to beneficiaries are reasonable and medically necessary for treatment and diagnosis, the criteria may be inconsistent among the agencies setting them. The Centers for Medicare & Medicaid Services (CMS) created policies that dictate the criteria that […]
Executive Health Resources (EHR)
Founded in 1997, Executive Health Resources (EHR), The Physician Advisor Company™, is the leading provider of medical necessity compliance solutions to more than 2,000 hospitals and health systems across the country. Endorsed by the American Hospital Association and Peer Reviewed by the Healthcare Financial Management Association, EHR’s solutions are delivered through expert Physician Advisors who […]
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