Caregivers need the right information at the right time in the right format to provide the highest quality of care. Case managers are responsible for coordinating the services that are delivered by the hospital — interacting with the clinician, the patient, and the payer to make sure that the services delivered by the healthcare organization are appropriate, of the highest quality, and are reimbursed at the appropriate levels. To best meet hospitals’ needs and infrastructure, 3M provides two case management products that integrate case management, social services, resource management and discharge planning to link an entire enterprise and give staff the ability to quickly identify issues that impact denial management and length of stay.
3M Case Management Benefits
- Automate workflow across multiple departments and specialties
- Streamline utilization review, case management, and discharge planning
- Document, analyze, and profile each step of the case management process
- Reduce denials and write-offs
- Shorten appeal turnarounds
- Eliminate redundant data capture
- Create site-defined clinical pathways to support variance tracking and trending
- Improve outcomes management and reporting
- Effectively track length of stay and outliers with encoder access to accurately assign working DRG
- Track avoidable days and variances of care to identify improvement opportunities
- Integrate third-party review criteria, such as InterQual
- Maximize reimbursement
- Strengthen collaboration for improved patient care
Using the 3M Case Management, Hattiesburg’s Forrest General Hospital
- Significantly enhanced communications among utilization management and coding staff, clinical staff, and physicians
- Improved the hospital’s financial performance, with an average denial rate of 2 percent (the national average is 3 percent)
- Reduced total inpatient days for targeted DRGs, resulting in a savings of $608,519
- Improved Medicare case mix index, leading to an annual increase in reimbursement of $1,783,242
"…What’s been good for the patient has also been good for the hospital’s bottom line."
— Linda Haywood, RN, MS, director of HIM at Forrest General Hospital in Hattiesburg
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