Hospital Case Management – February 1, 2019
February 1, 2019
View Issues
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American Hospital Association Sues CMS Over Final Rule Changes to OPPS Payments
The American Hospital Association has sued the U.S. Department of Health and Human Services to prevent changes to how Medicare reimburses care in hospital outpatient departments.
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Nursing Shortage or Not? It Depends on Location
Although reports often emerge with predictions of a pending nursing shortage, some evidence also points to the opposite: plenty of new nursing graduates to meet the demand.
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Separating Utilization Review, Case Management Creates Transitional Care Coordinator Role
Hospitals that still assign case managers to utilization review and care coordination at discharge might consider separating the duties to improve care quality.
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Case Managers Should Beware of Medicare Fraud, Waste, and Abuse Issues
All hospital employees, including case managers, should receive frequent compliance training that includes information about how to prevent compliance problems.
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Dedicated Case Managers Can Improve ED Efficiency
Hospitals can help eliminate ED inefficiency with targeted case management programs that have the goal of getting people into the right level of care at the right location.
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Plan Ahead to Integrate Technology for Efficient Workflow
Healthcare organizations and case managers have room for improvement in how they integrate technology into their workflows.