CMO@Aerolib.com
+1.888.492.0254
CMO@Aerolib.com
+1.888.492.0254
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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

Medicare and Medicaid Medical Necessity Compliance

Managed Care and Commercial Admission Review and Denials Management

We specialize in Medicare and Medicaid Medical Necessity Compliance, Managed Care and Commercial Admission Review and Denials Management running a current needs analysis of the organization and based on current regulations, help the Case Management and Utilization Review departments with formulating defensible statement letters that look at the patient globally.

Our determination letters include

  1. Case Summary: Includes chief complaint and summary of clinical events detailing medical necessity and severity of illness
  2. Bedding status recommendation: Inpatient or Observation
  3. Audit Risk Score: Calculated using proprietary Aerolib Analytics, this gives an estimate of the risk of an audit
  4. At Risk Reimbursement: based on DRG, LOS and billing submissions from existing hospital data and Medicare payments for region
  5. Interventions to decrease Audit Risk Score