- Physician Advisor Gap Coverage
- Aerolib Ecosystem for Psychiatry and Behavioral Health
- Aerolib Physician Dashboard
- Healthcare Management Services
- Revenue Cycle Management Consulting
- Clinical Documentation Improvement
- Patient Centered Total Quality Management Consulting
- Medicare and Medicaid Medical Necessity Compliance
- Clinical Integration with operations and Clinical Performance Management
What Our Clients Say
We have been with Aerolib Healthcare Solutions for 5 years and continue to use their Physician Advisor Gap services and Payer contracting services. They have been involved with our payer negotiations and we are very pleased with the outcomes.
Director of Case Mgmt. of a 423 bed hospital
Aerolib has streamlined our concurrent review process with integration of utilization review, case management and hospitalist education with our electronic medical record.
CMO of a 225 bed hospital
Aerolib`s learning management system has been well received by our clinical staff with disease specific clinical and regulatory courses. I am impressed with the reporting mechanisms that help us track learning activity.
Physician Advisor of 4 hospital system
Aerolib Audit Risk score
The Audit Risk score a complex statistical analysis of multiple variables including the following:
- Clinical severity indices
- Medical Necessity of hospitalization
- Documentation
- Severity of Illness
- Intensity of Service
- Risk of mortality
The weighted means of the variables are analyzed using multiple regression analysis with a key component being clinical risk which is based on Evidenced Based Guidelines and Best Practices. Various disease specific severity indices are used from meta-analysis studies and Physicians finally combine this data to determine the Audit Risk Score
Our determination letters include
- Case Summary: Includes chief complaint and summary of clinical events detailing medical necessity and severity of illness
- Bedding status recommendation: Inpatient or Observation
- Audit Risk Score: Calculated using proprietary Aerolib Analytics, this gives an estimate of the risk of an audit
- At Risk Reimbursement: based on DRG, LOS and billing submissions from existing hospital data and Medicare payments for region
- Interventions to decrease Audit Risk Score