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Executive Health Resources, Inc.

 
Approx. 10 active jobs   |  Website
Overview
Recognized as one of the "Best Places to Work" in the Philadelphia region by Philadelphia Business Journal for five consecutive years, Executive Health Resources, Inc. (EHR), The Physician Advisor Company®, is the leading provider of medical necessity compliance solutions to hospitals and health systems across the country. Endorsed by the American Hospital Association and Peer Reviewed by the Healthcare Financial Management Association, EHR’s comprehensive solutions include: Medicare and Medicaid Medical Necessity Compliance Management, Governmental Payor Appeals Management, Commercial Payor Admission Review and Denials Management, and Expert Advisory Services. EHR delivers its solutions through 1,000+ expert Physician Advisors who are specially-trained in Medicare/Medicaid rules and regulations and leverage EHR’s experience of more than 5 million medical necessity reviews through EHR’s proprietary workflow technology. Today, EHR employs 2,700+ individuals and works with 2,300+ hospitals and health systems across the U.S.
Culture
EHR - Point of Service Intervention EHR provides the physician expertise and infrastructure to overturn clinical denials while the patient is still in the hospital, manages length of stay, improve documentation, and impact quality. EHR physicians work daily on a case-by-case basis with payors, case managers and attending physicians to overturn medical necessity denials quickly, document medical necessity clearly and appropriately, and establish and implement a clear, concise plan of care. This “Point of Service” approach is what sets EHR apart, and allows the EHR programs to become an integral part of your hospital’s medical management strategy. EHR tracks every case and interaction using its proprietary IT system, EHRic™, and provides custom reports that address your specific needs.
Benefits
EHR attracts and retains our employees by offering an action-oriented environment that values accomplishment. The Company also offers competitive salaries, excellent health and wellness benefits, 401(k), profit sharing, and many other benefits designed to make you succeed.
Career Opportunities
AHA ENDORSES EXECUTIVE HEALTH RESOURCES TO REDUCE

CLINICAL DENIALS AND BETTER COORDINATE PATIENT CARE

WASHINGTON (February 9, 2004)—The American Hospital Association (AHA) announced today that it has awarded an exclusive endorsement to Executive Health Resources (EHR) for its “Best in Class” suite of clinical solutions for revenue cycle management. EHR is a company of physicians that provides hospitals and health systems with day-to-day operational services and infrastructure to improve ppropriateness of payment by insurers and better coordinate patient care. EHR’s physicians work with hospitals across the country to reduce clinical denials and underpayments from insurers and manage clinical services more efficiently.

Hospitals today are faced with the challenge of managing their limited resources, while continuing to deliver the highest standard of care. According to health care experts, the cost of clinical denials to individual healthcare organizations averages $3.3 million annually. However, many hospitals do not have the resources or the expertise needed to avoid unpaid days at the end of admissions and lead the denial-appeals processes. Additionally, managing what happens when a patient is in the hospital—the clinical aspect of the patient’s stay—is vital to ensuring appropriate reimbursement for services rendered and managing the cost of caring for each patient.

“Hospitals should get reimbursed for the services they deliver, yet every year, medically appropriate services are not paid for because of inadequate denial-management and prevention practices by hospitals,” stated Tony Burke, president and CEO of AHA Financial Solutions. “Hospitals must direct resources towards working with their attending physician staff to address these problems. This is where EHR sets itself apart—EHR’s physicians work every day at the point of care with attending physicians on a doctor-to-doctor level, to appropriately decrease denials and improve the patient care process.”

EHR’s physician team is trained not only in clinical medicine, but also in managing the care process, physician education and utilization management. They provide the operational infrastructure and experience to dramatically reduce the financial impact of clinical denials. EHR’s physicians appeal clinical denials while the patient is still in the hospital, avoiding the expensive and time-consuming process of retrospective appeals. Collaborating with attending physicians and case management, EHR’s physicians ensure that a plan of care is established and documented early in a patient’s stay and make sure that the plan is implemented and supported.

EHR helps ensure that patients get the care they need and that hospitals get paid for delivering appropriate care. After a thorough market assessment, AHA selected Executive Health Resources because of its unique “point of service” model, and its experience at successfully implementing this methodology in hospitals across the nation. This exclusive endorsement recognizes EHR’s dedication to uniting the business agenda of AHA member hospitals with AHA’s mission: to advance the health of the individuals and communities that depend on them.

EHR’s “Best in Class” services include:
  • MedForce: EHR physicians appeal clinical denials while the patient is in the hospital. This minimizes the impact clinical denials have on accounts receivable and holds payers accountable. If the concurrent approach is unsuccessful, EHR manages the entire retrospective appeals process. The goal of MedForce is to guarantee the hospital is reimbursed appropriately for all services rendered.
  • GEMS (Goals for Effective Management Strategies): This unique approach to the patient care process combines detailed analysis with problem identification and avoidance. Through GEMS, EHR physicians work every day with attending physicians to efficiently manage the inpatient process, appropriately manage inpatient days per admission, and make beds available for incoming and existing patients on a timely basis. The results are a better patient experience, lower costs, fewer delays and more efficient resource utilization.
  • Physician Education: EHR physicians work with attending physicians and staff on a peer-to-peer and case-by-case basis to help align the practice patterns of physicians with best practices for efficiently delivering high quality of care against the realities of running a hospital. Many studies show that physicians learn by case anecdote. EHR provides the only program that combines this with effective, evidence-based education. Interactions focus on documentation and communication as well as coordination with case managers.


“We are honored to have our products and services endorsed by the AHA,” said Robert R. Corrato, MD, MBA, founder and CEO of Executive Health Resources. “Our clinical approach to managing the care process and interacting with insurers not only solves problems as they occur on a day-to-day basis, but also allows the hospital to better identify and address systemic issues that contribute to decreased efficiencies over the long term.

Many hospitals approach these problems using a single physician with no formal training in this area. Our approach is that of an expert team dedicated to achieving results. In addition, our programs deliver a significantly positive return on investment to our hospitals, which in turn provides additional resources to care for patients and improve the care process. ”
Vision
Mission: Executive Health Resources( (EHR) is a company of physicians and nurses working consistently and persistently to revolutionize the business of healthcare by effectively managing the relationships between the hospital, the physician, and the insurance company.

How We Define Success: At EHR, we surround ourselves with professionals who are motivated by a desire to make an impact in a fast-paced and challenging climate. We are resourceful and creative problem-solvers who relish the opportunity to take decisive action to drive our organization’s continuing growth. We prefer our dynamic work environment to a highly formalized and layered corporate structure, because we excel when provided with a healthy blend of independence, flexibility and responsibility.

How We Maintain Success: The strength of our Company is found in our people. EHR continues to thrive, because we have found a way to leverage our various strengths and become as a team greater than the sum of our parts. Our teams work in synergy to identify the needs of our clients, to develop innovative products, to move quickly and decisively to implement our strategy, and to embrace a philosophy of uncompromising adherence to moral and ethical principles. At EHR., Inc., we recognize that our employees are our most valuable resource and the key to continued growth into the 21st century.

EHR is always looking for others who share our vision. If your definition of success matches ours, we welcome you to review our list of current openings categorized by functional area.
People
The EHR Difference:

EHR is a team of Physicians with specialized expertise providing daily support to case management, attending physician staff and business office staff to address problems while patients are still in the hospital. EHR works as an operational partner, helping to ensure that quality clinical care is matched with sound financial strategy. EHR’s “Point of Service” medical management is what sets it apart. EHR takes education out of the classroom and right to the bedside. EHR overturns clinical denials before the patient is discharged, not 90 days later. EHR eliminates length of stay problems by interceding before such problems have time to develop.
Contact
Address: 15 Campus Blvd. Suite # 200
Newtown Square, PA 19073

Phone: 610-446-6100