The case for case management

An effective case management program can help healthcare organizations: Position the organization for changes under healthcare reform with coordination of care across the healthcare continuum. Enhance quality of care with an interdisciplinary team focus on the progression of the plan of care. Increase payment and decrease costs by expediting patient discharge. Improve the revenue cycle process by ensuring accurate coding for prompt billing, reducing denials, and improving contracting terms with managed care payers. Proactively prepare for Recovery Audit Contractor audits and protect against unfavorable results.