Prevent Denials

Protect Revenue

PreAdmit is a remote based, 24 hour a day utilization review service that offers your organization, real time, preadmission level of care determination, resulting in a reduction of inpatient denials.

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Use calculator to determine the estimated retained revenue your organization can achieve by partnering with PreAdmit.

Our remote-based RN Case Managers apply industry-standard medical necessity guidelines prior to admission, helping your organization avoid non-reimbursed hospital stays.

How We Do It

1

HIPPA Compliant Secure Web Portal

2

Upload Patient Data

3

PreAdmit® UR Review

4

Level of Care Determination

5

Hospital Notified of Recommendation

Your Hospital’s Challenge

In an era of rising healthcare costs, insurers are constantly looking to deny payment for unnecessary or non-qualified inpatient Hospital stays. Most Hospitals provide in-house case management review but are limited by available UR resources especially overnight, weekends, and holidays.  

How do you ensure every hospital admission meets medical necessity? How do you staff for Utilization Review after hours and on weekends?

Solution

Timely Utilization Review before the admission happens

Reduce inpatient admissions that do not meet medical necessity

Avoid post-admission payer denials

Key Benefits when partnering with PreAdmit

  • Pre-Admission Utlization Review
  • After Hours and Weekend Coverage
  • MCG ™ and Interqual™ Guidelines
  • 2 hour turnaround
  • Point of Entry Review
  • Concurrent Review
  • Inpatient and Ambulatory review

We offer flat-rate tiered monthly pricing for institutions or ad-hoc per-case rates for those who desire more flexibility in using our services.