Utilization review, HIPAA updates and more
In hospital middle revenue cycle operations, utilization review (UR) often breaks down through scattered handoffs to different teams with no single point of accountability. On the Healthcare Financial Management Association's Voices in Healthcare Finance podcast, Kevin Coloton, CEO of HURC, laid out the fix: centralize UR under one executive owner and one defined team. Fewer handoffs and clearer accountability prevent revenue leakage.
Hear the full conversation, which begins at the nine minutes and 45 seconds mark:
https://www.hfma.org/operations-management/utilization-review-hipaa-updates-and-more/