MCAP™ Clinical Review Criteria For Providers

MCAP Clinical Review Criteria enables providers to achieve the highest possible level of care quality and patient safety at the lowest possible cost by:

• Ensuring that patient admission, placement, transfers and discharges are always appropriate, according to best practice standards;
• Enabling case reviews to be completed accurately, rapidly and with the least possible amount of physician review, using information that is always readily available;
• Eliminating any need to "game" the case review tool in order to get patients to meet criteria;
• Allowing complex cases with co-morbid conditions to be reviewed quickly and reliably every time with no ambiguity;
• Providing case reviewers with the capability to consistently present accurate claim information to payers with certainty;
• Improving the quality of reviewer-physician communications by shifting the dialogue from whether a patient is "sick enough" to meet criteria to determining which level—from ICU to home—that a patient can receive the highest quality of care; and by
• Providing accurate, timely information on patient flow bottlenecks thereby enabling rational investment and reallocation of human and capital resources.

MCAP™ Clinical Review Criteria Eliminates Ambiguity

Providers prefer MCAP Clinical Review Criteria because it eliminates ambiguity and guess work from the case review process.  Even the most complex cases can be reviewed in a fraction of the time required using the current leading criteria product.  That's because reviewers spend less time looking for necessary information and more time actually completing case reviews.  This translates into higher case review output in the same about of time, with less stress and greater accuracy.

Ultimately, MCAP Clinical Review Criteria helps hospitals achieve their quality and safety goals while also maximizing financial performance.  Isn't that the goal of case review criteria?  Contact us to schedule a demonstration and experience the difference of MCAP Clinical Review Criteria yourself.