Case Management Monthly 2016 index

2-midnight rule

Ask the expert: Our experts tackle your toughest questions. Jan., p. 6.

Ask the expert: What’s the latest on BFCC-QIO short-stay reviews? Dec., p. 8.

CMS puts short-stay audits on hold. Aug., p. 1.

Is the 2-midnight rule going away and when will short-stay audits resume? Nov., p. 7.

Surprise: QIO short-stay audits tracking back farther than expected. Feb., p. 1.

 

Billing

CMS moves to bundle knee and hip surgery payments. Feb., p. 3.

Improving the collaboration between CDI and case management. Feb., p. 6.

Navigating the skilled nursing benefit for Medicare. Aug., p. 4.

Three common documentation mistakes you can help fix. May, p. 5.

Tips to prepare for CJR. March, p. 5.

 

Care coordination

Accountable care units can help streamline communication and reduce length of stay. Nov., p. 1.

Fast facts about the opioid addiction crisis from the CDC. April, p. 3.

Get your department moving in the right direction. Jan., p. 4.

Getting the right physician advisor. June, p. 4.

Mitigation to eventual elimination of LGBT healthcare disparities. Dec., p. 1.

Strategies to help the flood of opioid dependence. April, p. 1.

Understanding nuances of patient status and therapeutic services. Sept., p. 6.

 

Case studies

Ask the expert: Case managers trigger HIPAA concerns. July, p. 6.

The four pillars standing between your organization and a readmission. Dec., p. 6.

Using physician advisors as an agent for change. Sept., p. 1.

 

Complex case

Accessing rehab benefits after multiple ED visits. March, p. 10.

Challenging end-of-life placement. July, p. 10.

A challenging psychiatric placement. April, p. 10.

Challenges of the 100-year-old patient. Aug., p. 10.

Devastating diagnosis for a woman accused of a crime. Nov., p. 10.

Handling a placement challenge. Sept., p. 10.

Hospitals paying more out of pocket for indigent?

Learning to pace the case. Jan., p. 10.

Managing care for an end-of-life patient. Dec., p. 11.

Managing the case of a patient who leaves against medical advice. Oct., p. 9.

A simple transition plan turned complicated. May, p. 10.

An unexpected effect of healthcare reform. Feb., p. 10.

An unusual case management challenge. June, p. 10.

 

Discharge planning

10 things you should know to ensure successful discharge planning. Aug., p. 6.

Discharge resource centers on the upswing. July, p. 1.

Medicare’s proposed discharge planning changes at a glance. July, p. 3.

Proposed rule focusing on discharge process could increase case management staffing needs. Jan., p. 1.

 

From the director’s desk

The 2-midnight rule: Physician documentation is king. July, p. 9.

Case managers and the revenue cycle. Aug., p. 9.

Conditions of Participation and utilization management. Feb., p. 9.

Is your hospital ready for the CJR model? March, p. 7.

Medicare Conditions of Participation, discharge planning, and patient choice. Jan., p. 9.

MOON: Is your hospital ready? Nov., p. 9.

Navigating condition code W2. Oct., p. 9.

Q&A on the MOON notification. Sept., p. 9.

Reaching for the gold! Dec., p. 10.

Staying on top of required notices: Part 1 (CMS notices: How savvy are you?). April, p. 9.

Staying on top of required notices: Part 2. May, p. 9.

Staying on top of required notices: Part 3. June, p. 9.

 

NOTICE Act and MOON

AHA asks for more information, time to comply with NOTICE Act. March, p. 4.

Getting ready for MOON. Oct., p. 3.

MOON requirement delayed in IPPS final rule. Oct., p. 1.

NOTICE Act confusion continued into the summer. Sept., p. 4.

Questions about MOON and CMS notification regulations. Oct., p. 5.

 

Readmissions

The continuum of communication. April, p. 7. Increased use of observation services not behind drop in readmissions. May, p. 1.

Interventions reduce readmission risks for HPEN patients. June, p. 1.

Overcoming readmission risks in racially and ethnically diverse patients. April, p. 5.

 

Rules and regulations

Commonwealth Fund study shows insurance gaps remain. Nov., p. 4.

Five changes case managers should be on the lookout for in 2016. March, p. 1.

 

Sample tools

Assessing patients is the cornerstone of a successful discharge. July, p. 8.

Boost documentation improvement efforts as a team. Sept., p. 7.

Evaluating the effectiveness of clinical documentation. Feb., p. 7.

Managing long length of stay patients, March, p. 9.

Proposed MOON form. Oct., p. 7.

Sample form: Improving communication with your physician advisor. May, p. 8.

Sample form: Physician advisor job description. June, p. 6.