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At University of Utah Health Care, a transition case manager acts as a liaison between the outpatient care team at community clinics and the inpatient care team.
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Even if the patient standing in front of you obtained coverage on the Health Insurance Exchange Marketplace, the claim still could end up being denied.
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Weekly extended stay rounds help move along patients who have issues and barriers to a timely discharge, experts say.
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It seems that every year case managers are asked to take on more and more roles and functions. Every time a new rule or regulation comes out from the Centers for Medicare & Medicaid Services (CMS), administrators turn to case management as the group to take the new problem or task on. This translates to more work!
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Multidisciplinary rounds are a good way to improve throughput, reduce length of stay and readmissions, and improve patient satisfaction, experts say.
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Patient access leaders at The University of Texas M.D. Anderson Cancer Center in Houston created a visual tool in 2013 to help staff to determine the correct payer.
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Multidisciplinary rounds can be an invaluable tool for the hospital team, but only if they are well-organized and focused, experts say.
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When patients are being discharged from University of Utah Health Care, they receive a one-page handout that supplements the written discharge instructions and gives patients, in an easy-to-read format, all the information they need when they get home.
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Mercy Medical Center in Canton, OH, established daily multidisciplinary rounds at the same time the case management department was being redesigned.
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Payer denials for inappropriate observation patient status dropped by 50% the first year after Good Samaritan Hospital in Dayton, OH, instituted a case management protocol that delegates responsibility for determining patient status to case managers.