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Case managers have been an integral part of the discharge planning process for decades. Typically this process has involved an in-depth assessment of the patient, which has included their clinical as well as psychosocial, financial and living situations
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The Centers for Medicare & Medicaid Services Probe and Educate initiative to determine hospitals compliance with the two-midnight rule makes it clear that case managers must review physician documentation as well as medical necessity.
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Successful malpractice claims alleging failure to diagnose the post-surgical complication of peritonitis are occurring because patients are sent home without proper evaluation, according to plaintiff attorneys.
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When prospective patients call to ask about cost, Susan Smith, CHAA, a benefit representative for patient access at Cox Medical Center Branson (MO), not only does everything in her power to give the best information she possibly can.
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The 2015 ambulatory surgery center (ASC) and hospital outpatient department (HOPD) payment proposal released by the Centers for Medicare & Medicaid Services (CMS) accommodates several important requests made by ASCA and the ASC community, according to the ASC Association (ASCA).
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Criminal prosecutions of physicians for grossly substandard care almost invariably involve the death of multiple patients revealing a pattern of gross negligence or reckless indifference to patient safety, says Ben A. Rich, JD, PhD, professor in the Department of Anesthesiology and Pain Medicine at the University of California Davis Health Systems School of Medicine.
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The Centers for Disease Control and Prevention (CDC) continues to investigate outbreaks as a result of unsafe injection practices. These mistakes and knowledge gaps put healthcare providers and patients at risk.
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As outbreaks continue to be reported due to unsafe injection practices and improper use of medication vials, the Centers for Medicare & Medicaid Services (CMS) is telling its surveyors to contact public health departments immediately if they see such flagrant breaches of infection control.
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A common issue, complaint, concern, and frustration that most of us in healthcare share is the implied But what have you done for me today?
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A new study from the Workers Compensation Research Institute (WCRI) reports that the payments for common workers compensation surgeries conducted at ambulatory surgery centers (ASCs) are lower than many of the payments for similar surgeries performed at hospital outpatient settings.
