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The Centers for Medicare & Medicaid Services (CMS) has made changes to the Inpatient Prospective Payment System which could have a major impact on your hospitals reimbursement for certain procedures.
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The Centers for Medicare & Medicaid Services (CMS) has created a bevy of new payment classifications for fiscal year 2006, making it more imperative than ever for case managers to make sure procedures are documented properly.
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When it comes to discharge planning and other health care challenges, dont be afraid to rock the boat, advises Jonathan Morris, RN, bed management coordinator at Wake Forest University (WFU) Baptist Medical Center in Winston-Salem, NC.
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David C. Seaberg, MD, a board member of the American College of Emergency Physicians (ACEP), has proposed a 10-point plan to increase capacity, alleviate overcrowding, and improve surge capacity in the nations emergency departments (ED).
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If your hospital doesn't have case managers who are dedicated to the emergency department (ED) and who work during peak hours, you're missing an opportunity to improve patient throughput, reduce denials, and cut down on patients who return to the ED over and over.
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When Elmhurst Memorial Healthcare looked at improving patient throughput, one of the issues that surfaced had to do with housekeeping, which historically had deployed its work force in a way that did not serve the facility, says Matthew J. Lambert III, MD, MBA, FACS, FACHE, senior vice president, clinical operations.
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The successful integration of case management and disease management is the latest step in the ongoing evolution of the Sutter Health Sacramento Sierra Region Care Management Programs, says Jan Van der Mei, RN, the region's continuum case management director.
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When Cooley Dickinson Hospital (CDH) in Northampton, MA, put the first case manager in its emergency department, some of the staff were skeptical about how well the initiative would work, recalls R.F. Conway, MD, medical director of emergency services and chief of emergency medicine.
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A documentation enhancement project that pairs case managers and coders increased the Medicare case-mix index at North Mississippi Medical Center from 1.48 to 1.92 in six years for the Tupelo, MS, hospital.
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An initiative that includes capacity alerts, "hall beds" used when the hospital is approaching capacity, and having one person responsible for coordinating bed placement has helped Spartanburg (SC) Regional Medical Center improve patient throughput and avoid being on emergency department diversion for more than a year.