Centers for Medicare and Medicaid Services (CMS)
RSSArticles
-
Get Ready for Bundled Payments: They’re Coming Your Way
If your hospital is not in one of the geographic areas where the CMS mandated that hospitals participate in the Comprehensive Care for Joint Replacement program, don’t think you’ve dodged the bundled payment bullet.
-
Re-Engineering Your Case Management Department: It’s Simple, It’s Just Not Easy, Part 1
This month, we'll begin discussion of the reasons why this is a very good time for hospitals to review and re-engineer their case management models and departments.
-
Individual Malpractice Insurance Can Protect You in Case of Lawsuits
In today’s litigious society, case managers should have their own malpractice insurance to protect their assets, experts say.
-
Take These Six Steps to Improve the Patient Experience
The following are one hospital's six steps for improving the patient and family experience.
-
Look Through Patients’ Eyes to Improve the Delivery of Care
By developing and implementing a method for seeing the healthcare experience from the standpoint of patients and family members, the University of Pittsburgh Medical Center has improved care delivery, lowered costs, and improved patient satisfaction.
-
What Makes a Good ED Case Manager?
Successful emergency department case managers need to be highly skilled with a high level of clinical knowledge, the ability to work quickly, and good organizational skills.
-
ED Case Managers Help with Status, Level of Care, and More
With auditors from CMS and commercial payers scouring patient records for potential denials, it’s essential to have case managers in the emergency department to work with physicians.
-
To Get it Right Up Front, You Have to Be Up Front
Emergency department case managers are essential to prevent payer denials by ensuring that patient status and level of care is correct, and prevent admissions and readmissions by linking patients to community services.
-
Is Hospital Discharge Unsafe? Ethical Response is Needed
It’s a difficult yet common scenario: A patient with complex care needs does not have a reliable caregiver at home to assist with implementing his or her post-discharge care needs.
-
Ambulatory RN Care Management Model Targets High-Cost Utilizers
Starting with a list of 2,500 patients who were high-cost utilizers, an ambulatory case management program effectively reduced the cost of care by 17% over three years.