Physician Second Level Review

Revenue:Physician Second Level Review / Prior Authorization / Charge Audits / Coding Services
physician second level review

The Adreima Physician Second Level Review program is designed specifically to supplement your clinical efforts by providing concurrent, evidence-based recommendations supported by clinical standards and guidelines for documentation surrounding length of stay and patient status. Our services incorporate a proven, cost-effective process that 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. Our team is structured in order to align the members that create additional incentives to get it right the first time.

Process improvement reduced undercharge ration in mid-size health system from over 9% to <1%

Adreima is able to seamlessly integrate with your existing technology and processes to enhance and augment your vision. The case management team electronically forwards cases to Adreima staff and Adreima communicates our recommendations to the hospital case managers or physicians to facilitate correct patient status. Our proprietary case triage and physician review platform supports high efficient processes. Our advisors support each case with expertise in clinical evidence, regulatory guidelines and trends in the industry. We track and report all referrals and provide crucial information in order to improve internal processes and identify areas for needed training and documentation improvement. Your physicians experience peer-to-peer guidance on how to improve documentation, prevent denials, and expedite revenues.

We provide additional expertise, insights and proven processes to complement your current team. Our physician second level review program has a proven track record of delivering tremendous results. We recently worked with a large health system and our performance resulted in an overall increased cash flow of $32 million for the system in less than 10 months.

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Adreima is pleased to announce that it has been acquired by nThrive. nThrive is a growing industry leader that leverages technology, services, education and analytics to create complete Patient-to-Payment℠ capabilities that our clients need.

Please view our press release for additional information about this exciting acquisition.