Get 13% More Days Approved

Get 13% More Days Approved

By:
Joanna Conti
Originally Posted:
Nov 23, 2022

One of the factors that has the biggest impact on how well a patient does after treatment is how long the patient stays in treatment.  Yet an ongoing challenge for many treatment centers is payer demands that a patient step down to a lower level of care more quickly than the clinical team thinks is appropriate.

Fortunately, Vista’s real-time patient monitoring research gives your UR team the data they need to justify medical necessity and argue persuasively for more days.  

Enlightened Solutions, a holistically- and clinically-driven Partial Care (PHP) and IOP program in New Jersey, tracks the number of days they receive approval for by level of care. They found that Vista’s patient monitoring data allowed them to get an average of two more Partial Care days approved (an increase of13%) than they had received the previous year:

Enlightened Solutions: Median No. of Days Covered at Highest Level of Care

Vista’s research helps your UR team get more days approved in two ways:

  • At the Start of Treatment: Vista's progress monitoring research alerts team members when patients are struggling with co-occuring disorders or suicidal thoughts. This data may allow the UR team to persuasively argue that a patient is not ready to step down to a lower level of care:
Ways to help UR team get more days approved
  • Throughout Treatment: Vista’s progress monitoring research alerts team members when patients are struggling with co-occurring disorders or suicidal thoughts. This data may allow the UR team to persuasively argue that a patient is not ready to step down to a lower level of care:
Depression Symptoms

Getting more days approved is just one of the ways that Vista’s outcomes research helps your team help more patients recover, but it’s the one that will get your CFO most excited. I’ve yet to do an ROI analysis that didn’t show that Vista’s inexpensive outcomes research more than pays for itself.  If you’d like to learn more, please watch a demo and set up a time to chat.

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Separately, I wanted to invite you to join me at two upcoming fun events:

  • The 2022 Excellence in Treatment Awards Ceremony is being held online on Wednesday, Nov. 30th at 7:00 p.m. EST/4:00 p.m. PST. This is the fourth year that the nonprofit Conquer Addiction will award Gold, Silver and Bronze Excellence in Treatment awards to the addiction treatment centers with the best post-treatment outcomes, and the competition has gotten tougher every year! Learn from the winners what they’re doing differently that makes their treatment so effective, and laugh out loud at the crazy celebratory videos.  Register now and join in the fun: bit.ly/3EFxDl9   
  • Marion Spears Karr and I will discuss Revolutionizing Addiction Programs Through Data on the Healthcare Thought Leadership LinkedIn Live show tomorrow (Friday, November 18th) at 12:30 p.m. EST/9:30 a.m. PST.  Please register to join us at http://bit.ly/3GpLhKB and bring your questions!
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