"The CartSoft software will bridge the gap between hospitals and payors in the debate of length of stay."

 

C.A.R.T.-UM: Money to the Bottom Line

The C.A.R.T.-UM software will bridge the gap between hospitals and payors in the debate of length of stay.

C.A.R.T.-UM breaks down length of stay into clinical days instead of calendar days, using the Milliman Care Guidelines. The distinction allows UM nurses and supervisors to quickly identify patients that will exceed the approved length of stay. These Care Guidelines are a tool for physicians and nurses, and can be customized to reflect practices at individual hospitals.

C.A.R.T.-UM allows UM nurses and supervisors to more efficiently talk with managed care organizations. The concise M&R "extended stay" list levels the playing field for both the provider and the managed care organization by providing the right information, using a common language and simplifying the delivery of information. In addition, the C.A.R.T.-UM program allows the hospital to assign codes and a working DRG.

C.A.R.T.-UM will:

  • Blend Quality and Utilization Review activities.
  • Improve the precertification process.
  • Reduce denial rates.
  • Improve claim processing time with approval prior to discharge.
  • Reduce inappropriate length of stay.
  • Recognize expense savings from DRG-based payment systems and uninsured patients.
  • Improve Patient Outcome by identifying areas of improvement during the stay.

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

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