Articles by Shrijana Tandukar

Deertalk 2014 Season 3

Posted by on

This season as usual commenced with the topic round. The extempore session became even more interesting with the presence of Bill Higgins as one of the judges. Abhinayak Swar with his confident voice and astounding presentation was able to grab the hearts of all the judges and eventually won the coveted Deertalk Season 3. Aman Adhikari, the most honest speaker with his consistent performance throughout the season was able to bag the runner up award. Subash Aryal’s power packed performance in each session was highly applauded.

  • Read More

Utilization Management in Everest – Part 2

Posted by on

In the request form, the clinical user enters demographic information related to the request for an authorization such as level of urgency, diagnosis, date of patient’s admission/start date of services, anticipated discharge/end date, place of service, planned procedure and information about the providers. The authorizations have “Attach Documents” functionality allowing the nurses to attach documents provided by providers, facilities, members, and others related to the authorization request.

  • Read More

Utilization Management in Everest – Part 1

Posted by on

This is part 1 of a two part article on how Utilization Management works in Everest. Part 1 covers introduction to the module.
The role of coordinated care is emerging as a major component of US healthcare delivery models, not only as a means of improving quality of care but also for controlling healthcare costs. Our Everest product is designed to support all aspects of the care coordination process, of which Utilization Management (UM) is a key strategy.

  • Read More