Formerly known as Resonant Advisory Services, delivers a full spectrum of secondary case review and audit defense services.
Our approach is to provide physician advisors who are focused on outcomes, not volume of cases. To accomplish this goal, we focus on continuous process improvement, learning from each case and reducing the need for secondary or concurrent reviews and ultimately avoiding claim denials or need for appeals management. Bringing back end information about denials and DRG validation to the front end, we create a process to automate case reviews rather than relying on case manager involvement.
As the need for physician advisor medical reviews decrease, the team will focus a higher percentage of time on provider education, coding documentation improvement committee involvement and aligning with hospital objectives. Rather than relying on high case volumes to support the need for outsourced services, our physician advisory services yield a higher proportion of attention shifted toward support of coordinated care and standardized practice without requiring minimum case volume.