University HealthSystem Consortium and Executive Health Resources
Form Strategic Partnership|
Strategic partnership will make medical necessity compliance and denials/appeals
management available to all UHC members
Oak Brook, Ill, and Newtown Square, Pa (January 6, 2010) The University HealthSystem Consortium
(UHC) and Executive Health Resources, Inc. (EHR) today announced the signing of a strategic
partnership that will make EHR's expert Physician Advisor solutions available to all UHC members.
With this agreement, UHC's 107 academic medical centers and 220 affiliate hospitals can leverage
EHR's comprehensive suite of solutions, which includes Concurrent Medicare Medical Necessity
Compliance, Medicaid Medical Necessity Compliance, Retrospective Governmental Payor Appeals
Solutions (including Comprehensive RAC, MAC, MIC, and QIO denial management), Managed
Care/Commercial Payor Appeals, and Expert Advisory Services.
In addition, UHC and EHR will collaborate in analyzing hospital memberŠlevel data to identify specific
areas for improvement and develop customized plans for concurrent medical necessity compliance
and denials management services at hospital facilities. Once this work is complete, EHR can provide a comprehensive, on-site implementation program to educate the member's case management staff on
using EHR processes and services.
UHC members can also benefit from EHR's ongoing compliance warranty program, which provides
protection beyond the initial concurrent medical necessity review and certification. Finally, all UHC
members can have complimentary access to exclusive, ongoing educational programming provided by
EHR to help them stay abreast of the latest compliance news, strategies, regulatory updates, and
guidance on current government auditing initiatives and other industry topics.
"In today's environment of increasing regulatory scrutiny, it is critical that hospitals mitigate risk
exposure by implementing proactive measures to ensure compliance 100% of the time," explained
Robert R. Corrato, MD, MBA, president and chief executive officer, EHR. "Through this strategic
partnership, UHC is demonstrating its commitment to its members to help them in overcoming this
difficult challenge. We are honored to work with such a prestigious health care organization."
To date, EHR's Physician Advisors have successfully performed more than 1.2 million medical
necessity reviews, conducted hundreds of audits at client hospital facilities, and successfully identified
and reversed thousands of RAC medical necessity denials at all levels of appeal. EHR's depth and
breadth of experience was a contributing factor in its selection as UHC's preferred partner.
"This strategic partnership with EHR will offer UHC members not only specialized pricing but also
services that include customized improvement insights. In essence, members will receive the added
benefit of a specific plan for concurrent medical necessity compliance and denials management," said
Tom Robertson, vice president, Business Strategies and Tactics, UHC.
EHR currently works with more than 900 hospitals and health systems across the United States. Prior
to the signing of this strategic partnership, EHR was already providing a broad range of services to a
large number of UHC members.
About University HealthSystem Consortium
UHC is based in Oak Brook, Ill, a Chicago suburb, and has 107 academic medical centers and 220 of
their affiliated hospitals as members, representing more than 90% of the nation's nonprofit academic
medical centers. UHC provides data products and services to members to support clinical,
operational, financial, and supply chain improvement. UHC's Patient Safety Net® serves as the patient safety system for UHC's Clinical Practice Advancement Center, which was one of the first 10 Patient Safety Organizations named by the Agency for Healthcare Research and Quality in 2008.
About Executive Health Resources
Executive Health Resources (EHR), The Physician Advisor Company, is the leading provider of
real-time, point-of-care, expert Physician Advisor solutions to more than 900 hospitals and health
systems across the country. EHR's comprehensive solutions include Concurrent Medicare and
Medicaid Medical Necessity Compliance Management (including Inpatient and Observation Review
and Certification, Cardiac Procedure Review and Certification, Readmission Review and Certification,
Continued Stay Review); Retrospective Governmental Payor Appeals Management (including RAC,
MAC, MIC, and QIO denials); Managed Care/Commercial Payor Appeals Management (including
Concurrent and Retrospective); and Expert Advisory Services. EHR is the only company in the country
both to be endorsed by the American Hospital Association and to have Peer Reviewed designation by
the Healthcare Financial Management Association. Learn more about
EHR at www.ehrdocs.com and www.theRACcure.com.