Many case management and finance departments have been busy with appeal activities since CMS resumed its regulatory audits on August 3, 2020. Utilization review (UR) nurses are reporting increasing numbers of commercial denials as the coronavirus (COVID-19) pandemic is resolving.
It’s been a little more than a year since the novel coronavirus (COVID-19) pandemic began. For case managers, it’s been a year filled with challenges and change. But despite its difficulties, the year also brought with it some important lessons about patient care and best practices.
Hannah looks down the heart transplant unit hallway. She has worked here as a heart transplant case manager for the past five years. In her position, Hannah has the unique opportunity to follow her patients across the care continuum, both before and after the transplant.
Q: Healthcare in rural communities remains an issue. Hospitals in rural areas continue to close at an alarming rate, creating problems for many communities across the U.S. How can these communities respond, and what role can case managers play in this response?