Z Healthcare Solutions

United States · Hospital & Health Care

Z Healthcare Solutions institutes a unique 360° optimization process, which focuses on improving the star rating of hospitals. Our unique model and approach combines concepts like quality, population health, case management and traditional clinical documentation. We institute a comprehensive review of clinical documentation with a strong commitment to improve the quality metrics and optimize revenue for our clients. Services: 360° Claim Optimization A unique model in the industry which combines Quality, Risk Adjustment, Case Management and CDI into one review process. A true real-time all-inclusive review led by an expert team of Physicians. Contact us to learn how we can help your hospital. 360° MD CDI One of its kind physician-led process. This process involves comprehensive concurrent and post-discharge review of inpatient claims for Quality, Risk Adjustment, Mortality and thorough Clinical Documentation Integrity. It is a 2-Tiered process where the second layer of review ensures compliance and accuracy. Contact us for more information. Physician Education A cornerstone of our engagement with clients. We provide education to Physicians on various subjects from General Clinical Documentation Improvement, Optimizing Physician Profiles, Medical Necessity, and Quality matrices. These educational sessions are CME Eligible. Please contact us for more information. Denials Management We provide denials management support for Medical Necessity, Coding, DRG Downgrades and Re-admission related denials. Our services involve peer-to-peer discussions by our Medical Advisors, and written appeals by an expert clinical team. We support hospitals with ALJ and IRO levels of appeals as well. Contact us for more details.