Expert Case Management for Acute Care Facilities
39 years of combined healthcare and acute care experience
Hospitals face increasing pressure from payers, regulatory agencies, and staffing shortages—often without the flexibility to add permanent FTEs. Premium Case Management Consultants, LLC provides short-term and project-based acute care case management and utilization review consulting focused on admission status accuracy, medical necessity validation, CMS compliance, and denial prevention.
Contact Us
premiumcasemanagement@gmail.com
Consulting Services
Admission Status & Utilization Review Audits
Comprehensive review of inpatient observation cases using MCG® and InterQual® to identify status discrepancies, documentation gaps, and denial risk.
Denial Prevention & Revenue Protection Support
Proactive case review and workflow improvements to strengthen payer defensibility and reduce avoidable denials.
Observation Management Optimization
Evaluation of observation utilization, extended stays, and appropriate inpatient conversions based on madical necessity criteria.
“Let us never consider ourselves finished nurses. We must be learning all of our lives.”
– Florence Nightingale
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