National Association of Physician Advisors

What is a Physician Advisor? Depending on who you ask, you'll get a variety of responses. After all, it's a vague term, isn't it?

The role of the physician advisor is evolving today. The physician advisor is not just participating in utilization review or a coding expert. They're not just concerned about RAC audits or being an appeals expert for denied Medicare claims.

You may want to know about this group called the National Association of Physician Advisors. The National Association of Physician Advisors was created in 2009 based on the need that physician advisors needed a central way to network and community.

World Congress is also planning the 10th Annual Physician Advisor Summit March 21-23 in Orlando, FL. The 2013 conference will focus on:

• How to start a physician advisor program in your hospital
• Newest updates on coding, documentation and reimbursement to keep you on top of new regulations
• Review various types of physician advisor jobs and see how that compares with your hospital
• What new and exciting responsibilities can physician advisors get involved in to help benefit the hospital
• How can physician advisors work closer with observation unit leadership

You can learn more about the National Association of Physician Advisors here. Plus, information about the 10th Annual Physician Advisor Summit can be found here.

Accretive Health Physician Advisory Services - Accretive PAS

Interested in a job as a "physician advisor?"

Accretive Health Physician Advisory Services: Accretive PAS

Hospitals and other medical facilities are under progressively more pressure to provide greater precision in case classification as well as coding. Both government and commercial payors are showing increased rigor in reviewing and denying reimbursements. Hospitals are required to ensure all revenue is compliant while not leaving legitimate revenue on the table. Accretive PAS® physician advisors are deeply experienced in patient admissions and regulatory issues to facilitate compliant classification recommendations of all patient types. Accretive PAS® works closely with the hospital medical staff, case management, and senior leadership to strengthen compliance, limit denials, improve revenue integrity, and improve efficiency.

The best market solution

• Highly qualified Board Certified Specialty Physicians
• Leading edge technology
• Regulatory Compliance "specialists" - national and local payor classification criteria and clinical and coding denial appeal resources
• End-to-end revenue cycle knowledge

Accretive PAS® Operational Priorities

• Quality and Accuracy
• Responsiveness
• Physician Interaction
• Flexibility
• Value Added Information and Analysis
• Training and Education
• Technology enabled

Learn more here.

BHM physician advisors

BHM physician advisors are a network of board-certified physicians with diverse specialties and over 40 years of combined experience. Whether a complex or standard case, our network of physician advisors can meet your needs. The services provided go beyond initial review, and encompass the complete review process from beginning to end. Our physician advisors will bring their expertise to your organization by employing an evidence based approach in analyzing all peer to peer clinical review cases. We will take this experience and use it to help the members of your organization shape ongoing treatment goals.

Services include

• Initial review
• Both standard and expedited reviews
• Concurrent reviews
• Appeal process
• Both standard and expedited appeals
• Medical record review
• Clinical treatment shaping and consultation
• UM Medical Necessity Review
• Physician Advisor Consultation

Intracorp Physician Advisor Services

I took this information from the Intracorp website where they talk about two services: 1) Physician Advisor Services; and 2) Impairment Review Rating.

Intracorp's robust suite of Physician Advisor Services and Impairment Rating Reviews provides reviews that give direction and recommendations on files in the process of settlement or set realistic reserves. We assist in addressing issues such as disability duration, functional ability to return to work, treatment appropriateness and projected treatment plans. We also offer telephonic consultation for adjusters, outside the formal review process.

Intracorp employs staff physicians supplemented by a broad network of contracted physicians spanning over 40 diverse specialties. All physicians play an active and clearly defined peer review role. Intracorp has used physicians to review treatment for over 38 years.

Our Physician Advisor Services Include:

* Utilization Management Medical Necessity Review
* Complex File Review
* Appeal Review
* Physician Advisor Consultation

Job Post: Physician Advisor

Here's a job post that may be of interest to you. Even though you may not have any direct patient care in this role as a physician advisor, you'll still need an active medical license as you practice "administrative medicine" instead of clinical medicine.

Physician Advisor
Job #: 1122269
Franklin Square Hospital Center
Baltimore, Maryland

Franklin Square Hospital Center, the third-largest hospital in Maryland and part of MedStar Health, can elevate your career to a new level of caring, compassion and clinical excellence.

Were progressive, patient focused and growing: just take a look at the progress on our new, 7-story Patient Care Tower. Opening this Fall, this state-of-the art facility will provide even more opportunities for team members to enhance their dedication and talents. We now have an opening for a:

Physician Advisor
Full-time
1st shift
Mon- Fri / 9:00-5:30

Job Description:
Works closely with the Care Management department to assure cost effective, quality treatment of all patients. Acts as liaison between physicians, payers, hospital administration, and the case management department. Provides ongoing education, both formal and informal, for the purpose of affordable quality care.

Requirements:
- MD Licensure
- Medical Terminology
- Licensed physician
- Clinical practice with understanding of Utilization Review
- Excellent verbal and written communication
- Experience with Hospital Information Systems and database software
- Ability to effectively communicate with all levels of hospital staff, physician peers, managed care entities, external regulatory agencies and QM/U&M staff in a verbal and written manner
- Demonstrated ability to be organized and efficient in prioritizing and managing assignments within minimal oversight and direction

Franklin Square offers highly competitive salaries and benefits.

Click here for more information.