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Imperium Utilization Review / Case Management Module

Utilize Your Resources Efficiently with imperium URM

Today, more than ever before, healthcare providers are being held accountable for the quality of care they provide to patients. In addition, meeting government regulations can be a challenge given the constantly changing rules and regulations governing healthcare practices. In addition, Providers usually conduct utilization reviews in siloed systems and spreadsheets, which make it difficult to track case information.

With multiple providers often involved in a given case, it is challenging for everyone to stay on the same page.

Imperium’s Utilization Review/Case Management is one solution that can help improve the quality of care for patients. This bi-directional module allows care providers to improve the EHR utilization review process and track patient progress in one centralized module. With this solution, a healthcare provider can save up to 25% on its annual budget, while improving quality of care by up to 20%.

Our utilization review module brings all patient information together in one secure EHR platform. This enables team members to access information without having to search multiple data sources, which helps increase patient care quality.  In addition, the system’s built-in automation capabilities automatically send out notifications when milestones have been reached. This saves providers time and ensures that cases are handled efficiently. All notifications on our system can be automated based on progress or other key events so you can scale up activities and focus on what matters most — your patients!

Imperium KPAI UR/CM is an integrated module where in UR staff, physicians and case managers can access all patientinformation toevaluate the medical necessity, appropriateness of care and efficiency of medical treatment and services provided.

  • KPAI UR tool auto identifies patient’s clinical conditions based on MCG / ICG (Interqual/Milliman guidelines) from Medical Documents/Labs/Vitals etc.
  • Customizable automated workflow increases speed and accuracy of authorization, reviews and appeals
  • Every clinical condition has the clinical evidence that backtracks to patient documentation that helps reduce denials
  • Advanced reports and dashboards to manage operations such as productivity, utilization, denials.Features and Benefits
    • An improved understanding of your patients’ needs through enhanced data collection and reporting capabilities
    • A reduction in costs associated with utilization review activities by automating processes while maintaining industry standards