PHS offers special discounted program for clients utilizing Milliman Care Guidelines

Proven Healthcare Solutions an industry innovator in fortifying hospital compliance with emergency department admission screening, is pleased to introduce the offering of a special discounted program for clients utilizing Milliman Care Guidelines.

"We are excited that Milliman Care Guidelines, a well respected leader in the health care industry for evidence-based clinical guidelines, recognizes the value that Proven Healthcare Solutions brings to today's hospitals and health systems," states Scott Serbin, Director of Marketing.

Proven Healthcare Solutions (PHS) provides real time medical necessity review at the point of service in the Emergency Department, through the powerful combination of their E-ARM software, the latest web-based clinical decision support criteria and actively practicing and fully trained nurse and physician reviewers. The system is designed to provide the ultimate flexibility for a hospital's admission review needs, whether it be coverage for a day shift, night coverage, weekend coverage, holiday coverage or full-time emergency department screenings.

In the current healthcare environment, with increased oversight, the appropriateness of the patient disposition is critical. Ensuring the presence of appropriate clinical documentation to support the level and quality of care provided is imperative. Ensuring a defensible admission decision at the time of the initial order is essential for both hospital and physician reimbursement.

"Our integrated approach enables us to provide point of service and ongoing education to the hospital's case management department, emergency department, and medical staff. At our most recent client, we have been able to demonstrate a consistent change in physician documentation in less than two weeks from the start of the implementation. This supports the level and quality of care provided minimizing the hospital's risk if these cases are audited in the future," states John Fontanetta, MD, FACEP, Medical Director.