. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the...-Cost Outlier claims preferred Experience in DRG Pricing using WebStrat Knowledge in claim payment methodology Good MS...
, and portfolio analytics by defining quality and confidence frameworks (e.g., completeness thresholds, outlier handling, uncertainty...
clinical outcomes and intervenes in outlier cases - Maintains clinical proficiencies in patient care and EMR/PM systems...
, patient safety, and outlier management. Ensure ongoing development to achieve the center's business plan. - Maintain...
, patient safety, and outlier management. Ensure ongoing development to achieve the center's business plan. - Maintain...
meaningful trends, practice variations, inefficiencies, and outlier behaviors. Design, execute, and interpret analytical studies...
as needed. i. Works the discharged not final billed (DNFB) report to determine outlier days, approved days, etc., and releases accounts...
, patient safety, outlier management, and ensures the ongoing development and growth of the center’s business. Maintains...
in CLT meetings with COD and CTD to improve quality, patient safety, outlier management, and ensures the ongoing development...
, patient safety, and outlier management. Ensure ongoing development to achieve the center's business plan. - Maintain...