At Cabell Huntington (WV) Hospital (CHH), case managers are more than just chart reviewers, they are part of the physician team—a shift in perspective that improved the facility’s LOS and, arguably, its patient care.
Providers give Medicare beneficiaries the advance beneficiary notice (ABN) before they undergo an outpatient procedure that Medicare will likely not cover.
Beatrice, 66, arrives at the long-term acute care (LTAC) hospital with end-stage renal disease (ESRD), hemodialysis, malnutrition, a stage IV coccyx decubitus ulcer, depression, and no family support.
Physicians can defer admission decisions to those who truly understand level of care—the case managers. The method is called the “admit per case management protocol.
Unlike politicians who only give lip service to working with rivals, BryanLGH and Saint Elizabeth Regional Medical Center have joined forces to create Lincoln ED Connections, which helps patients who use the ED for primary care.
In March, President Obama signed the Patient Protection and Affordable Care Act into law. Although the regulations enacting the legislation remain on CMS’ to-do list, providers expect changes to how the government pays them.
