Utilization Management
Maximize Revenue
NYX Health offers a full range of utilization management consulting services to optimize your revenue cycle processes ensuring that healthcare resources and outsourced services, such as prior authorizations and denial management, are utilized appropriately and efficiently.
Our Professionals
NYX is a leading utilization management consulting firm in healthcare and offers a full range of compliance and appeals services to hospitals. Our staff consists of experienced US-based physicians, administrative, and IT professionals with experience in the following areas:
DATA ANALYSIS CAPABILITIES
Evaluation of ED discharge and hospital admission data to identify trends that have the potential to prevent denials, maintain better compliance, and support successful appeals. Evaluation of historical claims data to identify specific denial reasons as related to clinical, coding, administrative, and documentation issues.
Potential Trends Include: