The Referral Development Module is designed to serve as a multidirectional system to assist in building a dynamic referral database to track referrals, monitor cost/outcomes ratios, monitor frequency of contract for potential referrals, and develop overall company referral profiles.  It allows for development of key referral companies by location, area of expertise and contact.

Administrative Benefits:

  • Analyze referral patterns

  • Review reason for non-admission to company

  • Monitor registration conversion ratio

  • Perform retrospective review of community needs for future resource planning

  • Contract management with referral company:

    • Negotiate contracts

    • Monitor profitability

    • Evaluate pricing and renewal strategies

    • Structure multiple authorization types

    • Monitor contract utilization

    • Renegotiate contracts

  • Manage internal and external referrals

  • Monitor follow-up for discharge referrals

  • Standard online reports

Clinical Benefits:

  • Review of referral agencies:
    • Areas of expertise

    • Occupancy ratio

    • Waiting list patterns

  • Receive and review referral information:
    • Problem list

    • Problem disposition

    • Review reminders interface with MAPI

    • Disposition outcome

  • Allow for referral guidelines and admission criteria

Reimbursement Benefits:

  • Document payor information
  • Review eligibility for reimbursement
  • Monitor conversion ratios and referral potentials

Referral Development                                                       ã Copyright 2007 – UNI/CARE Systems, Inc.  7/00

REFERRAL DEVELOPMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



 

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