Hospital Case Management – June 1, 2017

June 1, 2017

• HINN, IM, and MOON: Alphabet Soup of Forms Can Be Confusing

  The Centers for Medicare & Medicaid Services requires hospitals to give patients an array of documents to explain their rights, their status, and any financial obligations they may incur — and it’s usually up to case managers to see that the hospital complies.

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• HINNs Inform Patients When Services Are Not Covered by Insurance

  The difficulty with the Hospital-Issued Notices of Noncoverage is deciding which to use and when to deliver it.

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• A Guide to Delivering HINNs

  Knowing which HINN to give to which patient and when can be a confusing process.

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• Delivery of the MOON Has Spurred Objections to Outpatient Status

  Some observation patients are demanding to be admitted as inpatients when they receive the Medicare Outpatient Observation Notice and understand what it means.

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• Designing the MOON Form and Process Was a Team Effort

  When CMS announced the Medicare Outpatient Observation Notice, a multidisciplinary team at UCHC/John Dempsey Hospital in Farmington, CT, developed a form and a process that would meet the requirements of both the state of Connecticut and CMS.

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• CMS Continues Emphasis on Quality, Value-based Purchasing

  In the Inpatient Prospective Payment System proposed rule, CMS is asking for public input on how to ease the burdens on providers and how make the healthcare system less complex and bureaucratic.

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• Study: Older Patients Vulnerable to Functional Decline Following ED Visit

  New findings from a rigorously designed study suggest that older patients who visit the ED are at enhanced risk of disability for up to six months following the visit.

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• Study Identifies Surprising Priorities of Chronically Critically Ill Patients

  To explore the expectations and goals of chronically critically ill patients, researchers interviewed 30 patients and 20 surrogates at a long-term acute care hospital.

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• Quality of Care and the Role of the Case Manager

  Today’s competitive healthcare environment demands constant attention to improvements in quality, safety, and the patient’s experience with care.

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