Healthcare at Risk: Fraud and Ethical Collapse
At Medscholaria Consulting, we stand at the intersection of healthcare compliance, utilization management, ethics, and public trust. Recent developments — […]
Utilization Management & Compliance
Stay updated on best practices, regulatory changes, payer audits, and compliance trends in Utilization Management (UM). Explore insights on how to navigate CMS requirements, avoid medical necessity pitfalls, and optimize UM decision-making.
From Burnout to Breakthrough: Solving the Nursing Leadership Gap in Temecula
By MedScholaria Consulting | April 2025 Temecula, California is facing a critical but under-discussed challenge: a shortage of experienced nurses
Reclaiming UM: AI, Trust, and Better Decisions
By MedScholaria Consulting Inc. | Continuing Education Series | 2025 Utilization Management (UM) is at a critical crossroads. What was
AI is Transforming Utilization Management: A Breakthrough
Introduction: Addressing Inefficiencies in Utilization Management Utilization Management (UM) is essential in ensuring that patients receive cost-effective, high-quality healthcare. However,