Pay By Check Mail checks to: 560 Sylvan Ave. Suite 3082, Englewood Cliffs, NJ 07632 Make checks payable to: Case Management Solutions Count me in! I’d love to know how we can improve our revenue. Name* Email* PhoneLocation AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Number of Facilities Name of EMR system used for clinical. Name of EMR system used for therapy. Average number of skilled HMO days billed per month. Average number of custodial managed long term Medicaid days billed per month. Average skilled HMO lengths of stay. Average skilled HMO daily rate. Short description of current case management system.Short description of case management challenges.To expedite the analysis process, please attach the following documents: Past 6 months HMO Census of Medicare HMO, Medicaid HMO (short term skilled), Commercial HMO, MLTC/MLTSS (managed Medicaid custodial long term care) indicating: Patient’s name HMO name Dates of service Level (rate code) Rate Gross Amount Group MCD/MCR (optional) Please send in both full and summary versions. Excel format preferred for a quicker turnaround. This can often be run as a Sales Journal summary report in most software (ECS). Important: Run without adjustments. Copy of HMO contracts rate schedules – this is the page that lists the levels, rates and criteria for each contract. If you already have this compiled into a form, that’s what we need. Otherwise, attach the actual contracts with the specifics included in the rates, and we’ll analyze the content. W9 for each facility. Upload your files here Drop files here or Select files Max. file size: 100 MB.
