CareSTEPP

Medical utilization management and case management system for health plans and administrators

CareSTEPP is a graphical, workflow-driven medical utilization management and case management application that helps you control medical costs, ensure delivery of quality care and automate paperwork associated with these processes.

CareSTEPP provides many benefits to your health plan enterprise, including efficient monitoring of staff productivity, workload balancing, improved staff communications, intelligent deployment of medical and administrative personnel, grievances and appeals tracking, and improved consistency of medical decisions.

CareSTEPP
CareSTEPP guides users through a task list of integrated functions, including pre-certifications, admission processing, review and discharge processing, and inpatient case management. Features include:

• Real-time access to member and provider information
• Workflow management
• Workgroup communication
• Electronic authorization and referral forms and templates
• Electronic access to diagnosis codes, procedure codes, and other pertinent information
• Predefined templates for generating complex authorizations with approved services, diagnoses, and correspondence
• Security features to address HIPAA member privacy and confidentiality requirements
• Medical management reports
• Interface with online industry standard medical criteria

CaseSTEPP
CaseSTEPP is an optional CareSTEPP module that tracks all information related to catastrophic or high-cost cases. CaseSTEPP enables the coordination of care provided, improves the continuity and quality of care, and lowers the costs of delivering care.

CaseSTEPP uses all of the features in CareSTEPP, plus additional features that include care/treatment plans, user-defined reference codes, tracking of diagnoses and medications, free-text case notes, time/expense/savings tracking, tracking of case-related contacts, management of documentation/correspondence, scheduling of reviews, reporting of case parameters, and tools to identify prospective case management candidates.

For more about CareSTEPP, contact us at inforequests@dsthealthsolutions.com.