CareContinuum uses a multi-disciplinary team approach to deliver a higher level of customer service. By teaming clinical expertise with result-oriented systems, and focusing on early intervention, we are able to exceed our customers' expectations.

To start the process, CareContinuum begins with assigning each patient a primary case manager responsible for reviewing medical necessity and for coordinating the entire plan of care. Emphasis is placed on utilization review, quality assurance, and a focused care management approach to identify admissions/diagnoses that are potential high cost drivers. When service is required for a patient, the case manager discusses it with the ordering physician. If appropriate, this conference may also include the primary physician, medical director, care provider representative, payer, social worker or others.

The Case Manager is the focal point for all communications. Our goal is to get everyone to perform as a single multi-disciplinary team. By creating a single focal point, information flows...there's less duplication of process...care is provided in a conscientious and cost-effective manner.

CareContinuum offers the following advantages:

Full Inpatient, Outpatient, Subacute Services

• Precertification
• LOS (Length of Stay)
• Procedures
• Medical Necessity
• In and Out of Network Administration
• Case Management
• Catastrophic Case Management
• Mental Health
• Concurrent Review
• Retrospective Review
• Outpatient Surgery and Diagnostic Review
• Home Healthcare

Demand Management

• 24 Hour Nurse Line
• Health Information Library

Benefits

• Case management staff with over 80 years combined experience
• Board certified Medical Director
• Milliman & Robertson Healthcare guidelines utilized
• 24-hour toll-free phone access
• Quarterly and annual standard reports
• Customized reports available
• Competitive pricing
• Electronic Data Interfaces available
• Flexibility

Click Here to view the Case Management Model