Recipe for success: Study identifies cost-saving practices for complex patient care

November 1, 2014
Case Management Monthly

In the accountable care organization era, controlling costs and maximizing the efficiency of care has become a priority for many organizations, particularly when it comes to patients with high-cost, complex needs. The question is: How can organizations save money without sacrificing the quality of care or increasing avoidable readmissions?

Use PEPPER to add some spice to your compliance efforts

November 1, 2014
Case Management Monthly

If the 2-midnight rule keeps you up at night, it might help to add some PEPPER to your processes. CMS recently updated PEPPER, otherwise known as the Program for Evaluating Payment Patterns Electronic Report, to provide hospitals with insight into how well they're doing with 2-midnight rule compliance.

505, 534, 540, and 541: Taking on the transmittal tangle

November 1, 2014
Case Management Monthly

In an effort to make physicians more accountable for proper documentation, CMS has been doing the transmittal shuffle as of late--and the process may have you thoroughly confused.