UM 4-7 Denial File Audit Tools
Product Description
Four separate files are included for the UM 4-7 denial file review audit: non-BH & BH Medicaid & Medicare; non-BH & BH Commercial & Exchange; Rx Medicare; and Rx Medicaid. Each file contains worksheets for instructions, individual file audits, and a summary worksheet that calculates results.
Product Details:
Standard: UM 4-7
Standard Year: 2025
Type: File Audit Tool
Length:
- Instructions
- Summary Results
- Individual Results for 1-10 Files
Price:
List Price for Non MHR Clients: Varies by the number of users. Click here to learn more.
MHR Clients: Varies by the number of users. Click here to learn more.
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Select the desired scope area(s) below to see all Tools and Templates available.
- Across Standards
- Credentialing & Recredentialing (CR/RR)
- Delegation
- File Review Tools & Guides
- Gap Assessments (Included with MHR Consulting)
- Health Equity (HE)
- Long-term Services and Supports (LTSS)
- Member Experience (ME)
- Model of Care (MOC)
- Network Management (NET)
- Population Health Management (PHM)/Population Health Program (PHP)
- Quality Improvement (QI)
- Successful Survey
- Utilization Management (UM)
