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Critical access hospitals face unique challenges that many other hospitals may not face. That makes critical access hospital management a unique and complex process.
With fewer staff members and greater revenue sensitivity, hospital utilization management teams (or the staff member covering UM) at critical access hospitals simply have too much to do. These professionals often do not have time to fight denials, wade through EMR records, or create in-depth reports.
Traditional utilization management tools are not tailored to help critical access hospitals with many of these key issues. Fortunately, CORTEX® approaches UM from a different perspective, emphasizing critical access management in healthcare.
With this strategy, it becomes that much more realistic to tailor utilization review planning and execution to the unique needs of critical access hospitals.