, and issuance of hospital-issued notices of non-coverage;Co-chairs the Utilization Management Committee and related outlier review...
documentation to provider appropriateness of MRI service (i.e. implants, orbits, medical history). Notes outlier concerns... documentation to provider appropriateness of MRI service (i.e. implants, orbits, medical history). Notes outlier concerns...
clinical review of all in-hospital mortalities and assigns outlier cases to appropriate department for peer review. Maintains...
/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) Contributes...
. a. Identifies cost/clinical outlier patients for intensive case management and facilitates evaluation of alternate care options. b...
/clinical outlier patients for intensive case management and facilitates evaluation of alternative care options. b) Maintains...
including tracking and appraising outlier days. Develops, implements and maintains a process to regularly review case managerâ...