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The emergency department (ED) case manager has four principal roles that should be observed. Those role are as follows:
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Not only is the emergency department (ED) not just for admissions, but it has become a key and strategic element of today's case management departments. A primary route of entry for many patients across the United States, it can make or break a hospital in today's highly audited environment.
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A program that provides support for uninsured patients has saved $4.56 million over 18 months at Memorial Hermann Healthcare System in Houston.
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At Cheyenne (WY) Regional Medical Center, recovery audit contractor (RAC) determined that a significant number of surgical one-day inpatient stays should have been billed as observation.
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A social work presence in the emergency department (ED) is critical to the effectiveness of the case management process.
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Sumner Regional Medical Center in Gallatin, TN, offers good evidence that quick-turnarounds are indeed possible when you have motivated staff.
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No matter what model of accountable care organization (ACO) the Centers for Medicare and Medicaid Services (CMS) settles on, case managers are sure to be key players as providers focus on managing care efficiently and effectively across the continuum.
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A new study from the Dartmouth Atlas Project seems to indicate the "report card" for Medicare patients at the end of life (EOL) is a mixed bag of pluses and minuses.
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There are hundreds of data measurements that hospitals and healthcare providers are required to submit to a variety of government and regulatory agencies.
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It was a "perfect storm," says Paula Swain, director of accreditation and regulatory for Novant Health/Presbyterian Healthcare in Charlotte, NC.