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Utilization Management

Hospitals & Medical Practices
Are you tired of your overall costs still rising, denials threatening your revenue, and administrative complexities of care complicating your revenue cycle management efforts?
Comprehensive utilization management programs are crucial to preventing claim denials and delivering the right care at the right time!

While denials may seem like an unavoidable part of the revenue cycle, providers can drastically affect their upfront risk with effective utilization management.

Utilization managers with expertly framed data and a continuous process evaluation together form the first line of defense against revenue loss.

Sunlit Cove Healthcare Consultants Provide Utilization Management Directors And Nurse Reviewers Who Have Extensive Knowledge And Experience In:

Obtaining Medical Necessity Authorizations for payment approval
Responding and adapting to changing market forces and regulations
Ensuring continuity of care and accurate payment for that care

Transforming operational processes can be a strategic driver of compliance and revenue integrity.

For hospitals and health systems, managing care effectively and efficiently should be a priority and a metric of organizational success.

Utilization Management at affordable rates will help your organization move forward for definite financial success!

Complimentary Process Review

Let us review your "new-normal" policies and procedures and evaluate the long-term sustainability of quick pandemic fixes.

Our Complimentary Process Review Includes:

  • overview report on your current process
  • workflow chart
  • recommendations for improvement that you can implement yourself

Ensuring Our Clients Rapidly Achieve Their Financial and Operational Goals

Our focus is to help your business grow and run smoothly. We understand the challenges faced with the claims processing and recovery environment. Sunlit Cove Healthcare Consultants provide professional subjects matter experts in the healthcare industry to enhance your business. Our consulting services are available to assist with your day-to-day operations and provide expertise in growth and change management.

Revenue Cycle Management Services

Our focus is to help your business grow and run smoothly. We understand the challenges faced within the claims processing and recovery environments. We understand the need to expand telehealth services in our current situation. Telehealth is working, but only if integrated with the right infrastructure and processes.

Sunlit Cove Healthcare Team, revenue cycle healthcare experts

Experts

Our team of experts at Sunlit Cove Healthcare Consulting have a diverse skillset which allows us to focus on the unique challenges facing the healthcare industry and private or nonprofit physicians’ practices today. Our combined years of expertise in healthcare administration enables us to effectively analyze constraints, problem areas, and challenges.

Lori Intravichit

Leadership | CEO

Lori Intravichit is the CEO of Sunlit Cove Healthcare Consultants. She has more than 25 years of healthcare experience. Lori has extensive experience in healthcare administration in senior management roles within both provider and payer organizations.