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Medicare Clinical Review

Clinical Services Dashboard:

Key Performance Indicators (KPIs) include:

  • Case Mix Index (CMI) for client, client's defined market and state
  • CC/MCC Capture rates for client, client's defined market and state
  • Top 10 Medical & Surgical DRGs
  • Top 10 Admitting Physicians
  • Discharge Dispositions overall and specific for AMI, CHF & Pneumonia patients

MMP, Inc. analyzes the data and includes "Prioritizing Your Action Plan" recommendations for the Client.

Focused Medical Record Reviews:

Includes a review for:

  • Medical Necessity of the Admission
  • Dated, timed & signed Admit Status Order
  • Clinical Documentation Improvement (CDI) Opportunities
  • Initial & 2nd Important Message from Medicare

Preliminary Findings and Individual Patient Worksheets are provided to the Client for review as well as a conference call to review findings prior to a final report being submitted to the Client.

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Location

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1900 Twentieth Avenue South
Suite 220
Birmingham, AL 35209

Connect

phone
205-941-1105
phone
800-592-9639
email
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