Discharge Planning
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Case Managers Should Be Aware of Fraud and Abuse Laws
Hundreds of healthcare providers are investigated and fined or reach settlements with the federal government each year under federal fraud, abuse, and kickback statutes. Federal investigators have pursued hospital case managers, as well as physicians and other providers.
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Medical Roundtables Helpful in Workers’ Compensation Cases
One strategy for resolving workers’ compensation claims as quickly and optimally as possible is to assemble a medical roundtable of professional experts to review claims.
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Home-Based Palliative Care Program Keeps Patients Out of the Hospital
A North Carolina palliative care program employs doctors and other members of a healthcare team to help keep patients out of the hospital through in-home, quality care.
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Program Targeting Serious Illnesses Helps Reduce ED Visits, Hospital Readmissions
A healthcare provider’s case management-style program produced a 43% reduction in hospital visits and a 24% reduction in ED visits within an 18-month period, according to authors of a new study.
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Interdisciplinary Care Rounds: A Key Strategy for Improving Case Management Outcomes, Part 4
This month concludes the four-part series on the topic of interdisciplinary care rounds. This issue will focus on talking points for rounds, documentation related to rounds, measuring the success of rounds, and how to manage the rounding process in the future.
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Privately Paid Care Management: Emerging Service Provides Advocacy and More
A privately paid care manager is a care option when an elderly patient does not have family close by. This is a service that has emerged to fill a need of the “sandwich generation” — adult children trying to coordinate care for elderly parents who live far away. The care manager often is a nurse, social worker, gerontologist, physical therapist, occupational therapist, or other health-related professional.
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Age-Friendly Initiative: Is Your Hospital Ready?
Case managers see it all the time: an older adult who has difficulty navigating the healthcare system. And, too often, this difficulty can lead to 30-day readmissions because the patient did not receive optimal care.
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Interdisciplinary Care Rounds: A Key Strategy for Improving Case Management Outcomes, Part Three
Case Management Insider continues discussion of scripting interdisciplinary rounds and reviews the roles each team member plays.
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Making Progress to Reduce Overtreatment
Excess screenings, scans, and treatments that offered little or no benefit were being prescribed at an estimated $210 billion a year, according to a 2013 report.
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Study Targets Causes of 30-Day Rehospitalizations
A new study has identified some of the most common physiological reasons for 30-day unplanned rehospitalizations among heart failure patients — making it possible for case managers and others to develop interventions and strategies to address this problem.