Precyse Announces Case Management and Utilization Review Consulting

A new service to strengthen the critical link between clinical and financial operations
Wayne, PA Apr 22, 2015 – Precyse, the industry leader in Health Information Management (HIM) performance solutions, announces today the launch of their new consulting services for case management and utilization review (CM/UR). Case Managers and Utilization Review staff can impact quality of care, timely and
appropriate reimbursement, and patient satisfaction – all necessary focus areas for sustainability in the new era of healthcare. Precyse consultants offer CM/UR expertise to revitalize CM/UR programs, and can help provide solutions to help solve some of today’s most challenging issues.
“Case management and utilization review function as a critical link between a healthcare provider’s clinical and financial operations,” said Marion Kruse, RN, MBA, Sr. Managing Director Clinical Services at Precyse. “We are well positioned to provide the best service in the industry because of our well-rounded, seasoned consultants that not only possess expertise in CM/UR, but have experience in other areas, including clinical documentation improvement, coding, and other revenue cycle functions.”
The benefits of CM/UR Consulting Services include:
• Integrating financial and clinical operations for the new era of revenue cycle challenges
• Thriving in a Value-based Purchasing world – improve 30-day Readmission and Medicare Cost per Beneficiary
• Driving down average length of stay
• Reducing cost per case
• Lowering denials related to avoidable days
Precyse’s CM/UR Consulting Service provides a three phase approach including an independent assessment, program redesign and implementation, and on-going performance monitoring of healthcare facilities’ CM/UR program. The offering also includes on-site education provided by practicing physicians and case management experts.