Care Management Solutions Services Overview
Our healthcare consulting experience has allowed us the opportunity to help dozens of hospitals nationwide. We help them improve their margin and fulfill their mission through initiatives in patient access, care management, quality, compliance and fiscal performance.

Since hospitals face unprecedented changes in Healthcare which impact their daily operations and long term survival, cookie cutter approaches and drastic cost reduction strategies typical fail. But our solutions will meet your needs because they are uniquely configured for your hospital's mission and goals.
Click on the bullet list item below to learn more about the service strategy list:
Point of Service Care Management
• Appropriate management of unique populations and cultural needs.
• High LOS for selected DRGs?
• High percentage of older and/or medical population?
• Poorer than desired performance when compared to others?
Patient Access Management
• Appropriate care location determination.
• Increasing observation? Check year to year trend.
• Percentage of outpatients in inpatient beds >10%?
Concurrent Coding and Documentation Management (C.C.D.M)
• Appropriate documentation that reflects care provided and desired clinical quality outcomes.
• Medical CMI <1.05?
• High DNFB (discharged, not final billed)?
• Decreased reimbursement from transfer DRGs?
• Missed documentation of core measure outcomes?

Care Delivery Improvement
Ensures mission effectiveness through quality based, satisfactory and fiscally sound care achieving meeting practice performance standards

Mission & Margin Outcomes
Point of Service Care Management
Patient Access Management		 Concurrent Coding
& Documentation Management
(C.C.D.M.)
Identify and address high risk, problem prone patient populations Yes Yes Yes
Confirm primary payer source at the time of registration Yes Yes Yes
Integrate care plan for day and full stay Yes   Yes
Anticipate clinical resource utilization on a case by case,
real time basis		 Yes   Yes
Expedite patient care and treatment Yes Yes Yes
Mobilize the Medical Staff around clinical resource utilization Yes   Yes
Elevate the role of the professional nurse at the unit level Yes   Yes
Promotes best practice performance Yes Yes Yes
Allows scorecard performance reporting Yes Yes Yes
Improve patient and physician satisfaction Yes Yes Yes
Align the goals of hospital clinicians and medical staff with fiscal
performance targets		 Yes Yes Yes
Manage length of stay and cost per cast to target Yes   Yes
Optimize revenue per case Yes   Yes
Manage inpatient bed capacity Yes Yes Yes
Avoid “cancelled” admissions Yes Yes  
Reduce payment denials Yes Yes Yes
Avoid re-bills Yes   Yes
Reduce accounts receivable Yes Yes Yes
Avoid non-compensable outpatient bed assignments Yes Yes  
Ensures effective post acute planning Yes Yes Yes
Increase referrals to services within your healthcare system Yes Yes  
Align the goals of hospital clinicians and medical staff with
fiscal performance targets		 Yes Yes Yes
Increase coding accuracy Yes   Yes
Create coding and referral compliance confidence Yes Yes Yes
Improve comparative database performance for physicians and
hospital		 Yes   Yes
        Achieve your goals with Care Management Solutions          
"Achieve Your Healthcare Goals" worksheet...it could work for you!
Care Management Solutions
(810) 750-8463 ph