Around-the-clock nurse reviews
Conifer Health’s licensed nurse reviewers are on call 24 hours a day, seven days a week—including holidays. Our nurses use your clinical documentation and function as a seamless extension of your onsite staff.
Real-time care collaboration
We’ve designed our workflow to facilitate close coordination between our reviewers and your care management staff. Admissions that don’t meet criteria are flagged and resolved quickly—enabling adjustments that improve the quality and cost-effectiveness of care.
Evidence-based decision support
Our nurse reviewers are experts in the use of McKesson’s InterQual® level-of-care criteria to screen hospital admissions for medical necessity.
Trend reporting and analysis
In addition to real-time reporting and interaction, we provide monthly reports that help you identify important physician and payer trends in admission, services ordered and reimbursement.
Unmatched experience
The Conifer Health clinical admission review team has unmatched experience—performing more than one million admission reviews to date.
Proprietary technology
We have built our own powerful workflow and reporting technology to manage response time notification of cases that don’t meet criteria, and to track physician and payer trends.
Expert quality assurance
Our quality assurance supervisors—senior, licensed nurses—monitor our nurse reviewers on all shifts, 24 hours a day, seven days a week, including holidays.