A new proposed rule aimed at reducing readmission rates and improving patient care could bring big changes for case management?in some instances requiring hospitals to nearly double the number of full-time case managers they have on staff, say experts.
Identify the new audit process that will be used by one of the two quality improvement organizations in charge of short stays under the 2-midnight rule.
As the year rolls to a close and you start to look forward to 2016, it's time to step back, look at your program, and set some goals for next year. Karen Zander, RN, MS, CMAC, FAAN, principal and co-owner of The Center for Case Management in Wellesley, Massachusetts, says it's always a good idea for case managers to stick to tried and true best practices that have been proven effective over time.
With today's emphasis on population health and better management of patients with multiple chronic conditions, payers and providers are increasingly teaming up to improve care. There's good incentive to do so. Patients with multiple chronic conditions are not only common within the Medicare population, but also use a disproportionate share of Medicare dollars.
If your organization is like many others, you've probably still got some lingering questions about how to comply with the 2-midnight rule. During a recent HCPro webcast "Medical Necessity Documentation and Short Stays," Steven Greenspan, JD, LLM, vice president of regulatory affairs at Executive Health Resources in Newtown Square, Pennsylvania, and Kurt Hopfensperger, MD, JD, vice president of compliance and physician education for Executive Health Resources, tried to shed some light on areas of confusion.
