Chart Audit Findings: Right Tools, Right Way to Appropriate Care

Industry-Led Session Sponsored By: Change Healthcare

Timeslot: Tuesday, October 11, 2022 - 8:30 AM to 9:30 AM
Session Type: Sponsored Session

About

Payers and providers share a common goal of improving patient outcomes cost-effectively through appropriate care. When that’s done, we – payers, providers, and patients – all win clinically and financially. So, why does it feel like there is a conflict?​

Join Chrissy Finn, RN, MSN as she reviews common findings of chart audits conducted nationwide of organizations of all sizes and translates them into strategies to enhance payer-provider collaboration, reduce secondary reviews and appeals and ultimately get patients the right care in the right place. Walk through examples to see the impact of accurate criteria application (it’s not about checking boxes!) and strong documentation. Understand how technology, such as automation, not only drives efficiency but assists in fostering trust, transparency and strengthened relationships.  

Learning Outcomes

  • Understand how using the right tools, such as evidence-based criteria, the right way leads to the common goal of improving patient outcomes cost-effectively through appropriate care

  • Use learning from other organizations to implement strategies to enhance payer-provider collaboration and to reduce secondary reviews and appeals

  • Summarize how technology can assist in fostering trust, transparency and strengthened relationships