Clinical oversight for complex, high-cost claims.
HCMS provides nurse-led case management, including specialized ESRD/dialysis case management, to support complex claims with clinical oversight, coordination and cost containment expertise.
Nurse case management is billed hourly in 15-minute increments; specialized ESRD/dialysis case management uses case-rate pricing agreed to case by case, given the specialized nature of dialysis claims.
HCMS customizes the level of clinical oversight to your plan, claim complexity and existing case management resources.
Submit a claim securely and let our team identify opportunities for savings and resolution.
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