The RCM provides users with multiple tools that can be used to track and manage both new and existing U/R plans. Staying on top of authorizations is vital for maximizing collections and minimizing the time between treatment and reimbursement. Let's review our recommended best practices for Utilization Review!
The Management Center
The Management Center, also known as the Organization Dashboard, provides organizations with a pulse check of the current overall health of their revenue cycle. For more information on using the U/R tiles in the Management Center, click here.
The Work Center
The Work Center holds U/R data that can be worked on at both the patient and organizational levels. In this section, users can create and track follow-up details of the utilization plan. This area of the RCM enables users to bulk assign a case manager to multiple patients simultaneously. For more information on this section of the RCM, click here.
Create and Manage Utilization Reviews
A U/R Plan must be in place before a U/R Required service can be recorded in the Attendance Calendar. For more information on creating a U/R Plan, click here.
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