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A combination of face-to-face and telephonic case management has resulted in high patient satisfaction ratings and a significant decrease in health care utilization for patients with complex medical needs.
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Bon Secours St. Francis Health System received nearly $2 million in denials and successfully appealed the vast majority of them during the few months the Greenville, SC, hospital was part of the Recovery Audit Contractor (RAC) demonstration project, says James T. Jones, PhD, RN, administrative director, case management and patient documentation for the Bon Secours St. Francis Health System.
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Case managers went to nursing school to take care of people, something they find themselves doing less and less in most practice settings...
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This is the first of a two-part article that discusses best practices for the care of patients with dementia. This month we look at an overview of the challenges presented by dementia patients and techniques that improve care.
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Recognizing that patients who don't take medication for chronic conditions as prescribed are more likely to have poor control over their independence, Blue Cross has launched a program to coach people on medication adherence.
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Now is a good time to be a case manager, leaders in the field report. New opportunities are opening up for case managers as the country struggles with ways to provide optimal health care for everyone while minimizing soaring costs for care.
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Ensuring employee safety requires more than a set of policies and procedures.
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This is the second of a two-part article that discusses the safety of home health employees. Last month, we looked at the types of workplace hazards home health employees face in patients' homes. This month, we look at how improving employee safety can affect recruitment and retention of employees and specific actions to take when an employee reports an unsafe situation.
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Not long ago, the ED at Palisades Medical Center in North Bergen, NJ, was struggling with waiting times hovering at about four hours.
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In just four months after the launch of an intensive compliance documentation management program (CDMP) Bon Secours St. Francis Health System's Medicare case mix index increased significantly.