Review medical necessity documentation tips and query strategies to ensure proper reimbursement.
Follow along as a case manager helps secure coverage for a patient with end-stage renal disease.
Review updates in the 2025 Medicare Advantage (MA) and Part D final rule that could impact case management practices.
Follow the case of a patient who refuses to transfer until certain conditions are met.
A final rule issued by CMS in February includes several changes to Medicare Advantage (MA) regulations aimed at ensuring health equity, quality, and safety.
A case manager works to help a hospitalized patient who is out of Medicare Part A benefits successfully transition to a rehabilitation facility.
