Adreima provides evidence-based and timely patient status physician recommendations to help hospitals and health systems improve revenue integrity and reimbursement, while maintaining compliance and performance through documentation analysis, improvement and client education. Our solutions include a Physician Second Level Review program, designed specifically to supplement your clinical efforts by providing concurrent, evidence-based recommendation supported by clinical standards and guidelines for documentation surrounding length of stay and patient status. This proven, cost-effective process yields outstanding results for hospitals, including mitigation of denials, quicker access to cash and a clinical staff that is focused on providing quality patient care.
Designed to supplement your clinical efforts, this service provides concurrent, evidence-based recommendations for documentation surrounding length of stay and patient status.
Our experts recognize discrepancies involving clinical and financial processes and work to strengthen all aspects of a hospital’s charges and charge processes.
With a full complement of technical, legal and clinical expertise, Adreima handles denied claims, concurrently and/or retrospectively.
Our specialists are trained to apply and interpret CMS guidelines specific to Transfer DRG claims including a triple-check verification process.
Our audit strategy delivers the tools to understanding clinical areas of potential risk and providing recommendations that improve processes, minimizing future audits and strengthening revenue.