Case Management Advisor – November 1, 2017
November 1, 2017
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Designers of Collaborative Behavioral Health and Primary Care Models See Growth in Future
Recent Medicare funding for care management services, related to integrated behavioral health and primary care, has provided more incentives for healthcare organizations to use this approach.
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Medicare Payment Codes Related to Care Management
Starting in 2017, the Centers for Medicare & Medicaid Services provided new Healthcare Common Procedure Coding System codes for care management payment.
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Orthopedic Nurse Navigator Helps Surgery Patients Stay Healthy
The Comprehensive Care for Joint Replacement program helped the University of Pittsburgh Medical Center Passavant reduce the percentage of total joint replacement patients who are discharged to a skilled nursing facility instead of home.
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Organization Expands Case Management for North Carolina Sickle Cell Population
North Carolina patients with sickle cell disease are a small population that experiences repeated and costly ED visits and hospitalizations. Community Care of North Carolina has 600 care managers statewide, who work primarily with Medicaid patients, matching them with 14 networks and care managers across the state.
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Bundled Approach to Handoff Communication Delivers Significant Safety Dividends
With an estimated 80% of the most serious medical errors linked to communication failures, handoff processes are a rich target for improvement. There are numerous tools designed to help providers remember to convey the most important information when transitioning a patient to another provider, but one approach in particular has demonstrated in multiple studies that it can reduce medical errors and preventable adverse events substantially.