The Physician Advisor (PA) serves as a clinical resource to the medical staff and CM/SW by providing identification, facilitation and resolution of utilization issues. The PA role has a matrix reporting structure which includes Corporate Physician Advisor and Corporate CQIO , as well as entity CMO and CEO. The Physician Advisor addresses the following issues: Federal and state compliance, documentation supporting coding/medical necessity/clinical validation, appropriate level of care, length of stay, hospital utilization and quality issues. In collaboration with admitting physician, healthcare team, and case management , the PA proactively manages cases at the point of entry and through the hospital stay , to ensure the patient is placed in the proper level of care classification based on medical necessity, severity of illness and risk of mortality . The PA ensures compliance with CMS for appropriate billing . The PA conducts post-discharge reviews related to payer audits. Promotes understanding and cooperation between the medical staff through communication, collaboration and education. Facilitate improvements in clinical practice to achieve better performance, improved cost, reduced length of stay, fewer readmissions, and superior patient care.
...Your Job SRG Global is looking for an Accounting & Reporting Manager to join our team in Troy, MI! Our Team You will join a principled... ...accounting or financial management roles Experience with outsourcing administrative functions to third-party vendors...
...Farm Technician: Title: Farm Technician Location: Catskill, NY Industry: Pharmaceutical Salary: $21.50/hr. Schedule: 6am - 230pm, Every other weekend off plus one variable day off during the week Employment Type: Direct Hire Overview: Assist...
...Travel Dialysis Technician - $1,230 per week at Healthcare Support summary: A Travel Dialysis Technician is sought for a 13-week assignment in Florence, Kentucky, offering a competitive salary and extensive support benefits. This role requires a KY Dialysis Technician...
...medical professionals have the necessary information to appropriately evaluate the patient Qualifications Bachelor's, Master's or Doctor's degree of an accredited physical therapy curriculum Certification in Physical Therapy and valid state license to practice...
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