DiversiMed, Inc. DiversiMed, Inc.Let the Eagle Eye of DMI Maximize YOUR Health Care Dollars
Dollars & Sense

True cost containment is best achieved through a full service Utilization Review Program that encompasses all healthcare programs from Point of Onset to Case Resolution.

DMI abides by the National Healthcare Billing Audit Guidelines and encourages the service providers that we audit to follow suit.

Four key ways DMI serves your interests:
PROSPECTIVE Before the care begins
CONCURRENT While the care is being delivered
RETROSPECTIVE After the care has been rendered
INVESTIGATIONS Anywhere, any time
We are proud to be the source of true cost containment for a diverse group of health care claim payors.  Shown below are some "Dollars and Sense" files as examples of the savings DMI can achieve. DMI saves real dollars for you!

DOLLARS
You can't afford to be without
Case Management Intervention

and
SENSE
Descriptor Item Prior
to CMI
Post
CMI
Savings

Prenatal monitor

first day, w/Terbutaline tx

662.00

350.00

312.00

Prenatal monitor

after first day, w/Terbutaline tx

482.76

350.00

132.76

Apnea monitor

w/O2 concentrator

990.00

618.25

371.75

Sandostin

200 mg/ml x 5ml

66.71

19.33

47.38

PCA Morphine

100 mg/100cc NaCl, w/pump

325.00

76.00

249.00

Vancomycin

1 gm twice daily

307.69

42.00

265.69

Chemotherapy

daily x 5 x 4 weeks

7,500.00

3,755.00

3,745.00

TPN per day

solution/nurse/supplies

580.00

260.00

320.00

Dollars and Sense

DOLLARS
Identify potentially costly claims
before the spending starts, not after

and
SENSE
Group Name Number
of Lives
LOS
Requested
Initial
Days
Certified
Certified
Extensions
Days
Saved
Savings
R and B
Case
Load

A

4,377

294

135

86

73

$32,832.00

48

B

703

4

3

0

1

$386.00

1

C

1,912

72

42

14

16

$10,677.00

10

D

979

143

69

37

37

$17,365.00

19

E

18,130

977

480

269

228

$107,021.00

205

F

2,038

59

26

14

19

$11,017.00

16

G

1,517

87

37

23

27

$14,714.00

15

H

1,284

65

23

30

12

$5,132.00

8

I

513

7

3

1

3

$1,302.00

3

J

195

24

16

6

2

$892.00

3

Totals

31,648

1,732

834

480

418

$201,338.00

328

Dollars and Sense

DOLLARS
When hospitals bill you incorrectly,
your healthcare dollars are wasted

and
SENSE

Audit Overcharge

$16,148.03

7 Hospital Bill Audits

$307,883.00
Recovered

Audit Overcharge

$66,876.12

Audit Overcharge

$38,560.70

Audit Overcharge

$60,082.95

Audit Overcharge

$19,509.40

Audit Overcharge

$60,355.80

Audit Overcharge

$46,350.00

 

DRG Overcharges

$86,808.87

6 DRG Reviews

$132,879.75
Recovered

DRG Overcharges

$3,266.19

DRG Overcharges

$10,498.42

DRG Overcharges

$3,675.00

DRG Overcharges

$3,611.49

DRG Overcharges

$25,019.78

 

Negotiated Discount

$11,033.31

6 Negotiations

$23,939.59
Discounted

Negotiated Discount

$901.94

Negotiated Discount

$1,060.52

Negotiated Discount

$4,839.13

Negotiated Discount

$3,938.82

Negotiated Discount

$2,120.87

 One call to DMI gives you access to answers for questions you may have.  Call now -- put the experience and expertise of the DMI staff to work for YOU!
Let the Eagle Eye of DMI Maximize YOUR Health Care Dollars
DiversiMed, Inc.
P.O. Box 21505
Tampa, FL 33622-1505
DiversiMed, Inc.
Toll-free (US/Canada): (800) 282-7032
Direct: (813) 628-4488
Fax: (813) 620-3733
dmi@diversimed.com

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