At CURN ( Certification for Utilization Review Nurses), our mission is to help Nurses, insurance companies , and hospitals expand their knowledge and commitment to patients, by creating a streamlined education and certification process. Thus enhancing the review process , patient outcomes and decreasing healthcare costs.
We offer a range of education materials, From navigating admission criteria versus observation criteria to discharge planning and post acute care settings. Utilization Review can be complicated we are here to untangle the knots!
At CURN ( Certification for Utilization Review Nurses), we believe that everyone deserves access to quality healthcare. That's why we strive to provide education and information about utilization Review from selecting the right level of care to filing a claim. We want to help UR nurses decrease P2P and the overall healthcare cost of members
InterQual/ Change healthcare
One of the leaders in health care criteria. Learn how to navigate and transform your skills. Change healthcare/ Interqual
https://www.changehealthcare.com/
MCG Critera
https://www.mcg.com/care-guidelines/care-guidelines/
Learn how to navigate prior auth to decrease delays and manage patients with the best utilization overal
Learn when LTACH , SNF, Rehab , or home health care is the appropriate criteria. Better enhance your reviews and discharge planning skills
What to do when your member terms?
Each plan has its own standards based on state regulations or company turn around times. Explore our resources to learn more
Our claim process is simple and easy to use, with quick reimbursement times.