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Design an exceptional provider review strategy

Optimize your provider review process to help save time, reduce costs and improve care quality.

3 steps to thrive in provider review

The Joint Commission requires accredited hospitals to provide an ongoing, continuous evaluation of every provider’s professional performance on both positive and negative trends in quality of care. The use of this ongoing evaluation aids in determining and maintaining the status of privileges.

Related healthcare insights

Viewpoints on the 2027 CMS Advance Notice

Report

Viewpoints on the 2027 CMS Advance Notice

The proposed changes contain a mix of both opportunities and challenges. Read the report to learn how these changes could impact your organization.

AI & API Integration for Reduced Denials [White Paper]

White paper

AI and API integration for reduced denials

Transform claims with AI and API integration to reduce denials, strengthen transparency and drive more efficient, intelligent operations.

Coding Modernization: Leveraging the Power of AI 

Article

Coding modernization: Leveraging the power of AI

Learn how Optum takes an innovative approach to smarter, more accurate healthcare coding.