April 1, 2010
Case Management Monthly

Experts expect the RACs to begin auditing medical necessity this summer. Case managers may be asked to play a large role in appealing medical necessity denials because of their involvement in level-of-care determinations. To help case managers, we asked Medicare appeals experts to explain the case manager’s role in the appeals process.

April 1, 2010
Case Management Monthly

Case managers and discharge must understand patients’ perspective to make sure patients clearly understand the discharge instructions.

April 1, 2010
Case Management Monthly

Untreated mental conditions can prevent patients from properly managing physical health, thus causing the patient to be readmitted to the hospital, which is why case managers should coordinate mental and physical treatments.

April 1, 2010
Case Management Monthly

Considering communication is at the heart of what all case managers do, case management leaders should think about making solving the problem of language and cultural barriers a top priority.