Centers for Medicare and Medicaid Services (CMS)
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How to draft documents for HIPAA implementation
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How to educate employees about kickback rules
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OIG: beneficiary awareness of Medicare fraud improving
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Individual case management of chronically ill pays off for insurer
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Collaboration is key to success of CM program
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CM redesign breaks down barriers
OSF Saint Francis Medical Center in Peoria, IL, redesigned its case management department to improve efficiency and clearly define the role of each clinician. -
CDC: Be alert for Ebola signs in African travelers
U.S. public health authorities urged health providers to raise their awareness about Ebola virus as two American health care workers became ill with the often fatal disease while caring for infected patients in Liberia. At about the same time, a Liberian man became ill with Ebola and traveled by plane to Lagos, Nigeria, where he died in a hospital. -
Program helps at-risk patients stay healthy
At Carolinas HealthCare System, an Advanced Illness Management (AIM) team targets patients with multiple health issues and frequent hospitalizations and emergency department visits. -
IPPS doesn’t change two-midnight rule
Although the Centers for Medicare & Medicaid Services (CMS) asked for suggestions on alternative methods of identifying and paying for short hospital stays, the agency did not clarify the two-midnight rule in the Inpatient Prospective Payment System final rule for 2015. -
CMS keeps raising the stakes on quality improvement
A significant portion of the Centers for Medicare & Medicaid Services (CMS) 2015 Inpatient Prospective Payment System final rule focuses on quality and raises the percentage of the Medicare base payment hospitals can lose if they perform poorly.