Putting the "Care" into Case Management

picture of a hand holding handHealth Claims Management (HCM) provides medical case management services, medical claims review, negotiations, reviews of medical necessity and recovery of overpayments.

HCM is an independent, nurse-owned company staffed with healthcare professionals who have a passion for case management. Our case managers have worked from both the provider’s and payor’s perspective, which enables them to see the big picture when assessing a case and making recommendations. They are experts in navigating a complicated health care system.

Our nursing staff includes certified case managers, as well as certified professional coders and medical reimbursement specialists. Experienced case managers act as liaisons between all interested parties. Our case management style is an ethical, goal-directed process. It focuses on managing the utilization of services using a proactive approach. This ensures the most appropriate care and cost effective outcome for both the patient and the payor.

We belong to the following organizations:

CMSA Case Management Society of America CCMC commission for case management certification Advanced Achievement in Transplant Management Certification

ACCM Academy of Certified Case Managers AAPC American Academy of Professional Coders