Solution: Revenue Cycle Reimbursement Management

Is your Utilization Review process optimal?

  • Are you being compensated for all your billable patient days?
  • Are patients discharging prematurely due to insurance denials?
  • Is your facility suffering from staff burnout, shortages, and high turnover?
  • Is it increasingly difficult to gather documentation in time for Utilization Reviews?
  • Are your physicians/providers adequately prepared for effective
    peer-to-peer reviews?

Is your Utilization Review process optimal?

  • Are you being compensated for all your billable patient days?
  • Are patients discharging prematurely due to insurance denials?
  • Is your facility suffering from staff burnout, shortages, and high turnover?
  • Is it increasingly difficult to gather documentation in time for Utilization Reviews?
  • Are your physicians/providers adequately prepared for effective
    peer-to-peer reviews?

ARGO Utilization Review

Increased
Funded Days

  • Optimized insurance authorizations
  • Structured process meets firm UR deadlines

Streamlined
Workflows

  • Automated data transfer from EMR to UR software program
  • Eliminated hunting through chart for pertinent documentation

Maximized Clinician Efficiency

  • Time alerts coordinating clinician schedules and improving accountability
  • Prepared reports including peer-to-peer for insurance review reduce prep time and frustration

Quality
Metrics

  • Automated auditing
  • High quality reports for process improvement, staff development, surveyors, and operating efficiency

Meet Behavioral Health CareChain

Automating Utilization Review to maximize insurance reimbursement

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