IPPS 2019 final rule erases admission order requirement, but implementation questions still linger

October 5, 2018
Case Management Monthly

The IPPS 2019 final rule, released August 3, formally reversed the CMS requirement that a physician’s order must be in the medical record for the hospital to bill for inpatient services under Medicare Part A. But it hasn’t eliminated all the associated headaches related to inpatient admission orders.

Study: Transitional care services reduce deaths and costs, but aren’t used enough

October 12, 2018
Case Management Monthly

Medicare beneficiaries who received transitional care services from physicians after they were discharged home from a healthcare organization had lower costs and were less likely to die in the month that followed than those who didn’t, according to a new study.

Case study: Putting children at the center of pediatric transitional care innovation

October 19, 2018
Case Management Monthly

Finding postacute placement for infants, children, and youth with complex health conditions can be a sizable challenge. While many organizations have begun to create programs to support adult patients in their transitions to postacute facilities and back into the community, the same programs should be considered for pediatric patients.

From the Director's Desk: Senate passes the Opioid Crisis Response Act of 2018

October 26, 2018
Case Management Monthly

Case managers and hospitals are increasingly struggling with challenges related to patients with opioid-related substance use disorders. But new legislation working its way through the government may help.

Complex Case: Case manager uses social media to identify a patient and find his family

October 26, 2018
Case Management Monthly

How can an ICU case manager coordinate the final care of an emergency room patient who never regains consciousness and the only thing known about him is his name?