Care Management

Bridging the compliance gap.

CM_Landing_302x228_4098193Schumacher Group Care Management is the patient-centered, physician-led compliance solution. We bridge the gap, aligning clinical judgment with regulatory guidelines.

Governmental and commercial payers are focused on reducing improper payments and maintaining compliance with the rules and regulations governing medical necessity. In this era of accountability, providers must implement processes that yield dependable results.

Our expertly trained physician advisors and nurse case managers provide both real-time and retrospective medical necessity screening and compliance verification, ensuring the right medical necessity decision for your patients 100% of the time.

Schumacher Group Care Management has the people, processes and technology to deliver end-to-end care management solutions that assist you in ensuring compliance across the continuum of care.

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IPPS 2014 Final Rule

Effective Oct 1, 2013, the IPPS 2014 Final Rule contains two provisions affecting the day to day operations of the hospital.  Listen to SG Care Management Division President Dr. Robert Wagner’s analysis: Understanding IPPS 2014: Clarifying Inpatient Admission Criteria and Part A to Part B Rebilling.

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Need Compliance Experts?

Our physician advisors are specifically trained in regulatory guidelines to deliver medical necessity compliance and make recommendations.

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