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Hospital Inpatient Care Reviews

Increase your hospital’s Medicare, Medicaid, and Insurance reimbursements with 365-day, 24-hour access to a broad panel of doctors who determine, within critical time frames, appropriate inpatient admission levels based on experience, judgment and Interqual Criteria guidelines.

Claims Eval understands the importance of concurrent reviews to accurately assess Severity of Illness (SI) and Intensity of Service (IS), establishing levels of care and eliminating financial vulnerability under Medicare Condition Code 44.

Medical decision-making in partnership with Claims Eval also eliminates the possibility of Conflict of Interest (COI) in your hospital community, reducing litigation, and improving quality of care to your patients.