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The Office of the National Coordinator for Health Information Technology (ONC) has released the final version of the Patient Identification and Matching Report.
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Patient access can collaborate with clinical leaders to avoid readmission penalties.
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The Centers for Medicare & Medicaid Services Probe and Educate initiative to determine hospitals compliance with the two-midnight rule makes it clear that case managers must review physician documentation as well as medical necessity.
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Case managers have been an integral part of the discharge planning process for decades. Typically this process has involved an in-depth assessment of the patient, which has included their clinical as well as psychosocial, financial and living situations
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When BK Kizziar, RN-BC, CCM, was in the hospital following surgery, a case manager walked into her room the day before discharge and asked whether she wanted to go to an acute rehab facility or have physical therapy sessions at home.
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Bioethicists can advocate for improved communication with family caregivers when a patient is going to be discharged from the hospital.
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When patients benefits have been maxed out or are close to being maxed out, case managers need to be creative with discharge planning, experts say.