Description: Physician Advisor, Medical Utilization Management, Clinical Quality Improvement, Clinical Documentation Improvement, Re-Admission Management, Denial Management, RAC Audit Appeals
healthcare compliance (8) pivotpoint (7) medical necessity (6) rac appeals (1) inpatient certification (1) observation status (1)
Pivot Point Health is a physician founded and managed company providing effective healthcare solutions to improve operational efficiencies and overall productivity that provides for the highest quality patient care. Our multispecialty practicing team of physicians has developed evidence based guidelines which along with their strong working knowledge in healthcare compliance enables them to conduct real-time medical reviews. Our goal is to assist clients in determining and placing the patient into the appro
PivotPoint Health ensures that each admission to your facility justifies and correlates with care delivery in the appropriate setting. What makes our physician advisor highly successful is their demonstrated ability to work collaboratively with Medical Staff, Case Management and Clinical Documentation Improvement Specialists when reviewing high compliance risk cases and determining the most clinically appropriate patient status designation. In addition, our physicians provide real-time peer-to-peer educatio