Versalus Health

Versalus Health supports hospitals and health systems with specialized expertise including Physician Advisors; regulatory experts; case management, clinical documentation, coding, finance, billing, and revenue cycle professionals. Our services are tailored to each client and are designed to leverage internal capabilities, resources, and talents. Versalus helps clients identify issues and opportunities quickly, take the actions needed to improve performance, and continuously monitor to ensure sustained results. How We Help Clients: Utilization Management, Billing, and Regulatory Compliance Process Redesign Physician Advisory Services Including Concurrent and Retrospective Case Reviews Medical Director Audit Reviews and Support Physician and Utilization Management Education Medicare and Private Payer Appeals Private Payer Contracting and Negotiation Support Hospital Payment Litigation Support CMS, OIG, DOJ support The Versalus solution leverages a data-driven, outcomes-focused approach to optimize our client's case management and physician advisor teams. For organizations that have established a Physician Advisor team, we offer solutions that complement their teams. We provide them with the information they need to effectively do their job. However, for those that have not developed internal capabilities, we offer a program that includes all physician case reviews, audits, appeals or specific expertise to complement existing programs. The result is a process that provides unprecedented visibility, ensures efficient use of resources and in-house capabilities, increases revenue, improves compliance, and maximizes returns on managed care investments.