Program Overview
ADM's Medical Case Management Oversight replaces one-sided Case Manager reports with objective, third-party evaluations based on documented activity—not vendor self-reporting. We eliminate the need for vendors to bill for research and report creation (charges that are generally unnecessary and rarely objective), delivering independent performance review that strengthens execution across your program.
Flat-rate fees. No percentage-of-savings billing that inflates numbers.
What We Evaluate
Performance Across Every File
Clinical outcomes and case progression against treatment timelines. Billing accuracy—does invoiced time match documented activity?
Early Visibility Into Problems
Delays in treatment authorization and RTW planning. Repeat activity and stalled files that drive unnecessary costs.
Measurable Program Improvement
Vendor and CM performance analytics. Documented savings from billing corrections and early intervention.
How It Works
1
Scope: Define which files, vendors, and standards apply
2
Review: Experience-driven review against documentation, billing, and outcome standards
3
Report: Detailed findings with specific recommendations and identified savings
4
Ongoing: Continuous oversight with quarterly reporting and shared commitment to improvement