Case Management Innovations

CMI is a company built around case management challenges that can be solved remotely in a quality and cost effective manner. We bring experience in case management, hospital administration, emergency department management and utilization review. The problem we face today is that approximately 60% of admissions from the Emergency Department occur after traditional business hours when most hospitals do not have case management services to assist with level of care decisions. The risk of getting it wrong can be costly. CMS estimated $4.4 billion in improper payments related to improper admissions. Our solution is a 24/7, 365 days a year remote call center that provides quality reviews at a low cost, increasing your bottom line while avoiding improper inpatient admissions that RAC will target. We use standardized guidelines and have a rapid turnaround.