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Case Management Advisor

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  • Quality ED requires hospital efforts

    A study published in The Journal of the American Medical Association (JAMA) found that there is no significant difference between safety-net and non-safety-net hospitals when it comes to the length of stay for emergency patients.
  • Case managers protected from liability by documenting

    As they go about their day-to-day activities, case managers should take steps to protect themselves from possible legal action if the patients whose care they manage experience an adverse outcome.
  • Weight training improves Parkinson's

    New research suggests weight training for two years significantly improves the motor symptoms of Parkinson's disease compared to other forms of exercise such as stretching and balance exercises.
  • Medical debt keeps rising

    Hard hit by one of the worst recessions in nearly a century, hundreds of thousands of Californians lost insurance coverage across the state as employers shed jobs and the health plans that came with those jobs, according to a report from the University of California, Los Angeles (UCLA) Center for Health Policy Research.
  • Avoid denials — Get it right from start

    When an interdisciplinary team including patient access, insurance verification, and radiology personnel was formed to reduce claims denials, "realizing where denials are coming from was definitely our first step," reports Brian A. Todd, CHAM, manager of patient access staff development and training at Lourdes Health System in Camden, NJ.
  • Health plan reduces high-risk conditions

    A proactive approach to engage at-risk members before they have an adverse medical event is paying off for CareFirst BlueCross and Blue Shield, a Baltimore-based health plan.
  • Tool that assesses home care has a flaw?

    The assessment tool used by federal government programs to measure whether a community health center is functioning as a "medical home" was developed by the nonprofit National Committee for Quality Assurance (NCQA).
  • Experts offer tips for substance use

    Hospital systems and care transition teams should take a close look at their practices regarding patients for substance use problems, with a goal of improving screening and discharge planning to prevent readmission of these patients, experts say.
  • Patient advocate helps with transitions

    When Sharon Gauthier, RN, MSN, iRNPA, was a hospital case manager, she saw people return to the hospital over and over, with issues that might have been avoided if someone had better coordinated care in the community.
  • Beneficial screenings could be lacking

    More than 20% of U.S. adults receive periodic health examinations (PHE) each year, yet new research shows that patients who have an annual routine visit to their doctor might not receive recommended preventive screening tests and counseling services that could benefit their health.