title: A proactive (and financially beneficial!) approach to utilization management.
abstract: Today's environment offers a host of utilization management challenges for healthcare providers. If hospitals are to minimize denials and reduce costs amid these pressures, they will need to adopt several key strategies, including effectively employing use of a dedicated physician adviser.
authors.affiliation: Clinical Product Strategies, HSS, Inc, Germantown, MD, USA. jmich@hss-info.com
authors.forename: Julie A
authors.initials: JA
authors.lastname: Micheletti
authors.forename: Thomas M
authors.initials: TM
authors.lastname: Mannis
mesh_terms: D002908:Chronic Disease / Q000191:economics; D003211:Concurrent Review; D003253:Consultants; D003284:Contract Services / Q000191:economics; D015709:Correspondence as Topic; D005377:Financial Management, Hospital / Q000379:methods*; D005568:Forms and Records Control; D017408:Guidelines as Topic; D020445:Hospitalists; D006801:Humans; D007345:Insurance Claim Review; D007349:Insurance, Health, Reimbursement; D010360:Patient Transfer; D010934:Planning Techniques; D014481:United States; D014600:Utilization Review / Q000379:methods / Q000458:organization & administration*