News & Analysis

August 5, 2020
Medicare Web

Q: Beginning in July, prior authorization is needed for certain hospital outpatient services such as blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, and vein ablation. Going forward, how should hospitals approach this change?

July 31, 2020
Case Management Monthly

Casey is on her way to the closest emergency department (ED). She is ill and has felt this way for the past nine days. Her symptoms resemble those associated with the novel coronavirus (COVID-19).

July 29, 2020
Medicare Web

Q: Beyond the need for laptops and internet connectivity, are there any other technological solutions that can be helpful as case managers work remotely?

July 24, 2020
Case Management Monthly

The novel coronavirus (COVID-19) pandemic has created challenges for case management departments. They must balance protecting the health of case management staff while maximizing productivity. In this new environment, departments are closely examining the role of the utilization review (UR) case manager.

July 22, 2020
Medicare Web

Q: Patients who leave the hospital against medical advice (AMA) have a much higher 30-day readmission rate than patients with non-AMA discharges. What strategies can case managers use to help patients who may be at risk for leaving AMA?

July 17, 2020
Case Management Monthly

Patients who leave the hospital against medical advice are more likely than other patients to be readmitted to the hospital within 30 days, adding up to a sizable and costly problem, according to a study published June 11 in the Journal of the American Medical Association (JAMA) Network Open.