Hospital Notification

Return on Investment $7.27*

The hospital notification process remains the key element for screening for medical treatment and diagnoses that may indicate a need for the implementation of case/disease management services, as well as to monitor extended inpatient stays.  Our expertise may lead to identifying appropriate options early in the disease process that may assist with cost containment—without compromising quality care.
 
Our Clinicians:
  • Monitor extended hospitalizations.
  • Utilize Milliman Care Guidelines for inpatient medical and surgical hospitalizations.
  • Trigger for Case Management intervention.
  • Trigger for Disease Management intervention.
  • Access consultants when criteria are not met or for complex cases that are outliers to evidence based criteria.
 

*ROI based on actual CMS book of business for 2007.

2006 Return on Investment - $12.36

 

Copyright © 2007 Case Management Specialists, Inc.

 

 

 

 

 Hospital Notification

 Catastrophic Case

 Rehabilitation Case

 Disease Management

 Medical Necessity

 Reinsurance Reviews

 Wellness Programs

 First Steps To Wellness

 Maternal/Child Wellness