Quality Resource Management

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Phone. 937-641-3328

Director: Carol L. Wise, MS, RN, BC, CPHQ

Services Available

  • Concurrent review of all inpatient admissions from the quality, utilization management and risk management perspectives.
  • Communication of clinical information to third party payers for certification of patient stays.
  • Facilitation of medical necessity denial and appeals, both for commercial payers and Medicaid patients.
  • Coordination of hospital utilization management concerns with the Vice President of Medical Affairs, the Chief Finance Offices, attending physicians, residents and other health care team members.
  • Tracking and trending of identified quality, utilization and risk management concerns.
  • Coordination of information for third party payer scorecards.
  • Provision of data support for the clinical practice guideline teams.
  • Overall support for the JCAHO and other regulatory surveys.

 

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Upcoming Events

Fun family health fair

REGISTRATION: Sign up online at www.keysports.net. By mail: Fill out this entry form and mail with a check payable to Miamisburg High School to Miamisburg High School C/O Jenny Brockert 1860 Belvo Road Miamisburg, OH 45342 For more information all Jenny Brockert at (937) 866-0771 ext.1414 or email her at jbrockert@miamisburg.k12.oh.us

Dayton Children’s cordially invites you to attend our upcoming state-wide pediatric trauma symposium. The symposium will be held at the Wyndham Hotel, Miamisburg, OH on April 25, 2014.

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The Right Experts

Just right for all kids

Accreditations

The Children's Medical Center of Dayton Dayton Children's
The Right Care for the Right Reasons

One Children's Plaza - Dayton, Ohio - 45404-1815
937-641-3000
www.childrensdayton.org