The Versalus Health data analysis and process evaluation go beyond patient status. It includes all the other elements that impact the clinical revenue cycle, like the quality of care issues, length of stay issues, commercial payer performance, diagnosis-related group (DRG), and coding integrity, to name just a few. We meet with your team to assess whether the current Physician Advisor structure is appropriate for your organization’s needs and how the patient status, documentation, and appeals processes are performing. Once that assessment is complete, we discuss our findings with you and begin the process of refining your program.
Define the Physician Advisor Program Objectives and Appropriate Staffing Levels
Next, we define the focus of the Physician Advisor program. The objectives for each program vary depending on the hospital or health system staffing, attending physician strengths, patient population, and other variables. Our focus is helping hospitals and health systems define the Physician Advisor program needs, scope, and performance expectations. Once objectives and expectations are established, we support determining the appropriate staffing levels.
Establish Metrics to Monitor Performance for Impact
Versalus Health helps your hospital or health system establish key performance indicators (KPIs) for your program to ensure revenue integrity and regulatory compliance. Once metrics are in place, we monitor ongoing program performance to ensure you get the most impact from the program. If your program outcomes are below your minimum standard, we propose solutions and adjust processes to ensure your program exceeds its goals.
Provide Education
Healthcare regulations continuously change. With new regulatory requirements, your Physician Advisor program will likely need to be updated or adjusted to account for them. With each new regulation, we evaluate the current Physician Advisor program and distill new information and use our Physician Advisor partners informed on the latest guidance and how to best incorporate these guidelines into their daily work.
Complementary Physician Advisor Services
Hospitals and health systems may determine that the internal Physician Advisor program meets the organization’s needs. Yet additional case reviews are needed from time to time to meet staffing shortages. If that is the case, the Versalus Health program supports organizations needing backup case reviews.
We’ve honed our Physician Advisor solution over time to optimize revenue integrity for our clients. As results materialize, you’ll see why supplementing your Physician Advisor program with Versalus Health Physician Advisor solution is worth the investment.
Increase Utilization Management Efficiency, Reduce Compliance Risk, and Improve Revenue Integrity
Versalus Health supports hospitals and health systems by performing thorough data analysis and providing insights from clinical and financial data. Versalus Health uses data analytics to identify revenue integrity and compliance areas that require the most attention. Versalus Health addresses any identified opportunities and then works with you to strengthen all aspects of your clinical revenue cycle. The result is efficient utilization management, improved revenue integrity, and reduced compliance risk.
Versalus Health specializes in Physician Advisor solutions to optimize revenue integrity. Book a Strategy call to learn how we can help.
