While CartSoft dramatically reduces denials and appeals with managed care organizations, its real value is in the collection of patient data using a standard of patient progress.

 

C.A.R.T.-UM : Examples of the Software


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C.A.R.T.-UM and Milliman Care Guidelines allow physicians and nurses to view the optimal recovery on a daily basis, allowing for early identification of patients needing extended stay. Measuring patients progress using clinical days rather than calendar days makes communicating with managed care organizations much easier.


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Often gaining a precertification or extended stay approval seems like a guessing game. With C.A.R.T.-UM and Milliman Care Guidelines, physicians and nurses can view the reasons for admissions and extended stay used by a majority of managed care organizations. Collecting and sharing the right information about the patient’s current condition is critical to gaining timely approval and avoiding appeals.


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CARTPR was added to facilitate timely review and communication by medical directors or hospital physicians supporting the utilization review function.

Call or email today for a 90-day free trial with C.A.R.T.-UM. (423) 855-1198

About C.A.R.T-UM l Reducing Denials l Improving Quality l About the Company