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November 6, 2012

US rural hospital network to upgrade medical necessity review, documentation technology

HomeTown Health, a network of rural hospitals and other medical practitioners in the US, has selected McKesson CareEnhance Review Manager Enterprise technology to improve care quality at rural hospitals.

By admin-demo

HomeTown Health, a network of rural hospitals and other medical practitioners in the US, has selected McKesson CareEnhance Review Manager Enterprise technology to improve care quality at rural hospitals.

The technology platform will help healthcare providers to increase the efficiency and accuracy of medical necessity review and documentation.

"Not only does CareEnhance Review Manager Enterprise support better care for our patients, but it also helps our member hospitals better determine the appropriate levels of care, which is absolutely imperative for rural hospitals with tight operating margins."

HomeTown Health clinical services director Lou Semrad said although many rural hospitals know what they need to do to improve healthcare access, affordability and quality, they do not have the resources to do it.

"We first help by performing the extensive due diligence required to find the right partners for our members and negotiate arrangements on the group’s behalf, then we make sure that our vendors continually earn the business through our ongoing evaluation process," Semrad added.

"Not only does CareEnhance Review Manager Enterprise support better care for our patients, but it also helps our member hospitals better determine the appropriate levels of care, which is absolutely imperative for rural hospitals with tight operating margins."

The web-based solution, which leverages InterQual Criteria, aids in the automation of the care review process as well as retrieving data and aggregating reporting about the process.

Data retrieval and aggregated reporting capabilities are vital for rural hospitals during Medicare recovery audit contractor (RAC) audits.

McKesson Health Solutions decision management vice president Matthew Zubiller said, "HomeTown Health makes it possible for its member hospitals to access the same tools as larger institutions, and we’re pleased to support its mission to empower rural hospitals."

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