A policy that UnitedHealthcare was poised to roll out that would have allowed it to retroactively deny ED claims isn’t moving forward yet. But that doesn’t mean case managers shouldn’t prepare for the payer, or others, to implement such policies.
CMS announced another round of changes to its Bundled Payments for Care Improvement program recently and said that while participation thus far has been voluntary, it may become mandatory starting as early as 2024.
Case managers need to prepare for a post-public health emergency world by understanding how to continue to work with and transition patients with COVID-19.
With inpatient rehabilitation facility admissions under increasing auditor scrutiny, learn about tactics you can use at your facility to identify audit risks.
Ensuring patients are being treated with the right level of care helps facilities allocate resources appropriately and keeps costs lower for patients and health systems.
