CMS puts short-stay audits on hold

August 1, 2016
Case Management Monthly

There's good news and bad news on the 2-midnight rule front. The good news: CMS has put short-stay inpatient audits related to the 2-midnight rule on hold as of May 4. The bad news: This isn't a free pass, and it isn't going to last.

Ask the expert: Navigating the skilled nursing benefit for Medicare

August 1, 2016
Case Management Monthly

Assigning the correct patient status is important not only to ensure that the hospital gets accurate payment for a patient stay, but also to ensure that the patient receives access to the postacute benefits to which he or she is entitled. 

10 things you should know to ensure successful discharge planning

August 1, 2016
Case Management Monthly

One of the more challenging aspects of a case manager's job is helping to ensure a patient successfully transfers from the hospital to the next level of care. Under a set of proposed revisions to Medicare's Conditions of Participation (CoP) announced in November 2015.