On-Demand

Getting It Right Up Front: How Utilization Management Drives Better Outcomes

Utilization management (UM) plays a critical role in delivering value-based care. Placing patients in the accurate care setting sets the stage for effective, valuable care. But the impact of utilization management on the revenue cycle often goes overlooked. When done correctly, UM facilitates accuracy from the moment a patient arrives all the way through payment. From financial, clinical and staff perspectives, strong UM practices can be the difference that fosters happy staff, smooth workflows and timely reimbursement.

This engaging session will explore the importance of thorough documentation, staff education and dedicated support in building a high-performing UM program. Join Jennifer Thorpe, System Chief, Case Management & Care Transitions and Camille Filoromo, System Director for Centralized Utilization Management at MUSC Health and Jonna Mayfield, Senior Manager of Care Management at McBee to hear the story of MUSC Health and how a strategic focus on UM drove a measurable decrease in claims denials after partnering with McBee.

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Meet the presenters

Camille Filoromo

System Director for Centralized Utilization Management, MUSC Health

Jennifer Thorpe

System Chief, Case Management & Care Transitions, MUSC Health

Jonna Mayfield

Senior Manager of Care Management, McBee

What you'll learn in this webinar

  • Why UM is essential for both financial sustainability and care quality
  • How timing, accuracy and “the why” of UM influences outcomes across the revenue cycle
  • Identify common industry challenges, including staffing shortages, inexperience and UM-driven denials
  • Understand three key focus areas to strengthen utilization review and reduce denials
  • Gain practical strategies and hear a proven UM success story firsthand

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