Clinical Admission Reviews
“Medically Unnecessary Service or Setting is the top error discovered in RAC audits.”
– CMS RAC Demonstration Evaluation Report
Conifer provides Clinical Admission Reviews in the ED that may improve accuracy of patient status designations.
Clinical Admission Reviews using InterQual™* clinical decision support may already be part of your hospital’s standard protocols. However, if you’re not using this tool afterhours and weekends when Emergency Department admissions are the most active, you may be unnecessarily increasing your case management staff’s workload. Our solution empowers your hospital and case managers with the standardized use of InterQual™ criteria applied 24/7 to
With Conifer, your hospital may achieve these benefits:
- More effective use of Inpatient or Observation status
- Reduced expense of staffing overnight and weekend
- At-a-glance daily reporting
- Fewer claim denials for inappropriate setting by using
InterQual 24 hours a day
To learn more about how our Clinical Admission Reviews can help
reduce admissions error rates, contact us.
*Conifer is an approved InterQual User. InterQual is a registered
trademark of McKesson Health Solutions, LLC