HOSPITAL SERVICES
Case Management Services
Case Management Services
Case Management (CM) is part of the mid-revenue cycle that focuses on appropriate patient status, timely inpatient or outpatient discharge, and discharge arrangements. An effective case management department organizes complex patient care needs, improves patient outcomes, and ultimately reduces denials.
The Challenge
CM is the combination of clinical information and administrative reporting. The department focuses on the assessment of the patient’s presentation with the payer contract requirements and assigning the patient to the correct level of care. The payer requirements change annually with the contractual terms. The goal is to reduce admission or service denials.
Our Services
Mindseeker can assess all aspects of your departmental operations to identify potential areas of workflow inefficiency. Mindseeker will review and/or establish key performance indicators to monitor departmental effectiveness.
Our Approach
Mindseeker provides experienced consultants to partner with your case management and/or senior management personnel in reviewing operations, determining areas of concern, establishing objectives, and assisting with change management. Mindseeker will:
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- Provide detailed assessment of CM processes
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Develop benchmarks for key performance indicators
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Provide management reports on significant findings and opportunities
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Review payer contracts and provide summary
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Provide departmental education regarding processes and third-party requirements
Benefits
By partnering with Mindseeker, you will receive a comprehensive work product by highly experienced, credentialed consultants regarding the efficacy of CM processes, admission denials, and suggested changes. Examples of improvements include: