Using MCG in Centralized Utilization Review to Reduce Denials

Mark Lowe, BSN, RN, the Senior Director of Denials & Utilization Review at Ballad Health, discusses using MCG care guidelines to reduce payer denials. By using MCG, one of his health system's facilities managed to reduce their denial rate from 15% to below 10% in less than a year. Other facilities in his organization are also seeing their denial rates dropping since implementing MCG. Learn more about how we support healthcare providers with evidence-based guidance: www.mcg.com/ho...