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As part of its mission to provide peace of mind to members, Premera Blue Cross has developed an innovative case management program to help members with breast and lung cancer understand their disease and make informed choices about their treatment options.
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When Ira Mandel, MD, MPH, was a physician in private practice, he found that group visits were an effective way to cover disease-management issues with his patients with diabetes. As executive medical director for Health Integrated, a Tampa, FL-based provider of care management services, he adapted the group visit concept for telephone-based case managers.
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Salaries for case management are increasing, but the vast majority of case managers are working far more than the traditional 40-hour week, according to the results of the 2004 Case Management Advisor Salary Survey.
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Midcycle self-assessments, tracer methodology, and less emphasis on examination of policy books are signs that the new survey process implemented by the Joint Commission on the Accreditation of Healthcare Organizations is truly different from the survey process of the past.
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A customer service associate for a large company, whose days at work are spent taking customer calls at her desk, injures her back and is determined by her companys physician to be disabled. Six weeks later, she still has some back pain, so her physician does not clear her to return to work; however, she goes on vacation with her family, plays tennis, and swims.
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All screening procedures undoubtedly ensure an applicants satisfaction of licensing and other technical qualifications required for providing medical care. However, part of the rules also should include reviewing a prospective employees suitability for the unsupervised nature of home health care service.
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There is no grace period for the new ICD-9 codes that go into effect Oct. 1, 2004, so home health managers and coders need to make sure they understand the effect of some of the new codes.
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This is the first of a two-part series covering strategies home health agencies can use to successfully recruit and retain qualified employees. This month, we look at how a home health agency can establish itself as the employer of choice within its community. Next month, we will examine how hiring the right supervisor or manager can greatly help with successful retention of employees.
