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.
HIPPA Compliant Secure Web Portal
Upload Patient Data
PreAdmit® UR Review
Level of Care Determination
Hospital Notified of Recommendation
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?
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
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.