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DOLLAR$
and $EN$E 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.
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Three ways DMI serves your interests: |
| PROSPECTIVE |
Before the care begins |
| CONCURRENT |
While the care is being delivered |
| RETROSPECTIVE |
After the care has been rendered |
|
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|
| We are proud to be the source of true cost containment for a diverse
group of health care claim payors. Shown below are some "DOLLAR$
and $EN$E" files as examples of the savings DMI can achieve. |
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DOLLAR$
You can't afford to be without
Case Management Intervention |
|
|
|
|
and
$EN$E |
| 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 |
|
|
DOLLAR$
Identify potentially costly claims
before the spending starts, not after |
|
|
and
$EN$E |
| 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 |
$201,338.00 |
328 |
|
|
DOLLAR$
When hospitals bill you incorrectly,
your healthcare dollars are wasted |
|
|
and
$EN$E |
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! |
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DiversiMed,
Inc.
P.O. Box 21505
Tampa, FL 33622-1505 |
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Toll-free
(US/Canada): (800) 282-7032
Direct: (813) 628-4488
Fax: (813) 620-3733
dmi@diversimed.com
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Home Page |
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Copyright ©
2000-2009, DiversiMed, Inc. All rights reserved. Trademarks not owned by DiversiMed, Inc. are owned
by other companies. Rights to design elements such as photos, graphics and computer
programs remain the property of their respective owners. Some of the images used herein
were obtained from: Corel Corporation, 1600 Carling Avenue, Ottawa, Ontario, Canada K1Z
8R7 and IMSI's MasterClips Collection, 1895 Francisco Blvd. East, San Rafael, CA
94901-5506, USA |
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