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About Us

Case Management Consultants (CMC), The Physician Case Management Company™, was founded by specialty trained, experienced physicians with backgrounds in case management, utilization review, hospital operations, clinical documentation and coding, medical management, reimbursement denials appeal and review, and CMS compliance.

CMC is focused on providing hospitals, health systems, and healthcare providers with technology-supported independent physicians advisor services to ensure regulatory compliance, maximize reimbursement, enhance revenue integrity, improve quality of patient care, and improve efficiency of post-acute care discharge management to prevent re-admission.

The CMC team of experienced physicians provides 24/7 case management and physician advisory services to hospitals, health systems, and health care providers throughout the United States.

Our Mission

Our mission is to assemble the most experienced team of physician advisors to assist hospitals and health systems in ensuring regulatory compliance, enhancing revenue integrity, improving quality of patient care, and improving efficiency of post-acute care patients management to reduce re-admission.

Vision

The vision of Case Management Consultants is to become the physician case management provider of choice in every market that we serve. We plan to accomplish this vision by creating professional partnerships with our hospital clients.

Goals

  • Improved CMS compliance
  • Enhanced revenue integrity
  • Improved financial performance
  • Improved efficiency of post-acute care discharge management

Core Values

At CMC, our core values are based on the “3Cs”: Compliance, Consensus, and Communication. We call this the “3Cs of Case Management Consultants” and we require that all our physicians, as well as others associated with us, embrace these values.

Compliance: Our case management and physician advisory services will be compliant with all CMS and other regulatory agency requirements at all times.

Consensus: We will deliver the highest quality physician advisory and case management services based on evidence-based medicine and consensus of professional medical opinion.

Communication: We will provide a technically-advanced communication system to provide the best communication between our staff, our physicians, our hospital clients, and third party payors.

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