Centers for Medicare and Medicaid Services (CMS)
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CMS continues its push for quality-based reimbursement
The final rule for the Inpatient Prospective Payment System for fiscal 2016 continues the CMS transition from Medicare fee-for-service to reimbursement that is based on quality.
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Community partnerships keep patients safe after discharge
As part of its safe transitions program, Swedish Edmonds Hospital has partnered with two local fire departments to enhance follow-up care for patients being discharged to home from the emergency department.
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Care management assistants help improve patient flow, care transitions
The addition of care management assistants to the care management team at Spectrum Health Grand Rapids hospitals has contributed to work flow efficiencies, compliance, interdisciplinary teamwork, and smooth transitions of care.
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Technology is essential today, but there are pitfalls
Technology, which was supposed to make case managers’ jobs easier, save time, and reduce stress, can also create problems, limit communication, and increase the silos that healthcare professionals are trying to eliminate.
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Case managers just can’t do it all alone
It’s not just the responsibility of the case manager to support good transitions, reduce avoidable readmissions, and improve patient safety and quality care during and after the hospital stay.
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There’s no magic number for case management caseloads
When it comes to determining case management caseloads, there’s no one-size-fits-all solution. But one thing is clear — if case managers have large caseloads, they can’t perform all the duties their role requires and do them well, the experts say.
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"Case Managers, You're Valuable. Now Get to Work."
While hospitals are giving case managers more responsibilities, many administrators are not approving an increase in staff to handle the extra work.
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Medicare proposes paying for advance care planning
Proposed changes to the 2016 Medicare Physician Fee Schedule includes a provision for two new advance care planning codes. These would be used to pay for a provider’s time discussing patient choices for advance directives and completing necessary forms.
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The Top 10 Mistakes You May Be Making In Your Case Management Department! Part 3
This month, we will be discussing three more of the top 10 mistakes that your department may be making and how to potentially improve or eliminate them.
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CMS proposes to OK one-midnight inpatient stays
CMS has proposed that stays shorter than two midnights be reimbursed as inpatient stays if the documentation in the medical record supports it.