News & Analysis

Complex case: Helping a patient who lives in a remote area

July 26, 2023
Case Management Monthly

Amanda, a surgical case manager, learns that her patient, Evan, lives in a region so remote that there are no home care services available.

Director's desk: The future of Medicare’s inpatient-only list

June 28, 2023
Case Management Monthly

CMS introduced the inpatient-only list in 2001 to ensure patients who undergo complex, high-risk surgical procedures receive postoperative monitoring services in an inpatient setting.

Complex case: Cosmetic surgery gone wrong

June 28, 2023
Case Management Monthly

Debra, a case manager, helps a patient who has undergone plastic surgery six times in the past six years.

Taking over post-acute authorizations

June 21, 2023
Case Management Monthly

Review these tips for setting up an internal preauthorization process at your facility to save time and money.

Are high medication costs keeping your patients out of SNFs?

June 7, 2023
Case Management Monthly

Research has shown that high drug costs can have a substantial effect on patient care. Learn how these costs can impact skilled nursing facility (SNF) admissions.

Complex case: Assisting a subway accident victim

May 31, 2023
Case Management Monthly

Joanna, a case manager, provides support to a 19-year-old subway accident victim.

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