Lessons learned: One year into the COVID-19 pandemic

April 2, 2021
Case Management Monthly

It’s been a little more than a year since the novel coronavirus (COVID-19) pandemic began. For case managers, it’s been a year filled with challenges and change. But despite its difficulties, the year also brought with it some important lessons about patient care and best practices.

Opioid prescribing for end-of-life and palliative care amid an epidemic

April 9, 2021
Case Management Monthly

End-of-life and palliative care are growing areas of focus for many case managers due to the aging U.S. population. One important aspect of this care is related to pain management.

Medical necessity is best defense for denial prevention

April 16, 2021
Case Management Monthly

Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.

Complex case: Navigating care for a member of a street gang

April 23, 2021
Case Management Monthly

Rusty is a member of a street gang in his city. He joined the gang five years ago when he was 17, and still believes it was the right decision. Now at age 22, the members are like his family.

Livanta to conduct nationwide audits of short-stay inpatient admissions

April 30, 2021
Case Management Monthly

If your organization is not already screening short inpatient stays, now may be a good time to start, says Ronald Hirsch, MD, FACP, CHCQM, CHRI, a vice president at R1 RCM Inc. in Chicago.