Hospital Management
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Compatibility Is Key to the Success of Case Manager-Social Worker Teams
Case management leadership should make sure the teams work well together and understand how to work cohesively and collaboratively.
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A Formal Model Helps Eliminate Duplication, Gaps in Care
Initiatives from CMS make it more important for case management leadership to review the duties, roles, and responsibilities of all disciplines and build an effective model.
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Vague Job Descriptions Leave Everyone Confused
One of the biggest problems case management consultants encounter is the lack of detailed job descriptions for case managers and social workers. Some hospitals don’t have job descriptions at all, while others use almost the same verbiage for RN case managers and social workers.
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RN Case Managers, Social Workers Should Work as a Team With Clearly Defined Roles
With increasingly complex patients and changing reimbursement rules, it takes both an RN case manager and a social worker to gather a complete picture of a patient’s situation and create an effective discharge plan.
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Hospitals’ Financial Assistance Processes Under Intense Scrutiny
Hospitals’ processes for charity care are facing intense legal scrutiny, with two highly publicized lawsuits underway.
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Defense Verdict in 11-Year Delay-in-Diagnosis Case
At first blush, this is a relatively straightforward failure-to-diagnose case, but the essence of this case is that the patient’s cancer would not have been cured in 2004 if the physician had made the proper diagnosis and followed up appropriately, resulting in a defense verdict.
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$7 Million Verdict: Improper Use of Balloon Device Leads to Death
A physician's inexperience with a balloon device led to ruptured blood vessels and the patient's death.
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OIG Auditing Medicare Payments for Telehealth
Healthcare organizations offering telehealth services should expect more scrutiny from the federal government now that the Department of Health and Human Services Office of Inspector General has announced plans to review Medicare payments for telehealth services, seeking to confirm the patient was at an eligible originating site and that the statutory conditions for coverage were met.
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ASC 606 Standard Requires Proper Reporting of Revenue
The Department of Justice’s campaign against healthcare fraud puts hospitals and health systems at risk in many ways, and they could find themselves subject to even greater fraud risk as the 2018 compliance deadline for a new standard of revenue reporting fast approaches.
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Scathing Results from Police Investigations of Nurse Arrest
The Salt Lake City Police Department conducted two separate investigations of the arrest of nurse Alex Wubbels, RN, and the results echo the reactions of many who have seen the videos.