News & Analysis

February 24, 2017
Case Management Monthly

Ever since Pat became a nurse case manager three years ago, both family and friends have reached out to her for healthcare advice. She really doesn’t mind and almost expects it, especially since healthcare can be complex and challenging. By sharing her knowledge as a case manager, Pat can often help people navigate healthcare complexities.

February 21, 2017
Medicare Web

The Commission for Case Manager Certification recently announced it is seeking nominations for candidates for the Board of Commissioners. The board is also seeking a public member, which is an individual not currently working in case management or disability management.

February 17, 2017
Case Management Monthly

Discharge planning, which is integral to providing continuity of care, is a dynamic process. The steps of discharge planning sometimes occur in order, they sometimes overlap, and they sometimes move back and forth.

February 17, 2017
Medicare Web

What are the consequences if hospitals don’t issue the MOON in the required time period or fail to deliver it entirely?

February 17, 2017
Case Management Monthly

As hospitals get ready to start notifying patients about their status under the requirements of the NOTICE Act using the MOON form, many still have questions about the process and the form itself. The NOTICE Act requires hospitals to provide a verbal and written notice (using the MOON form) of outpatient status to any patient who has been in observation for more than 24 hours. The hospital must provide notice to the patient within 36 hours of the start of the service, or at the time of discharge or inpatient admission. “The notice must be provided no later than 36 hours after observation services are initiated or, if sooner, upon release,” according to CMS.

February 14, 2017
Medicare Web

A recent JAMA study analyzed the proportion and cost of 30-day readmissions and found that sepsis accounts for a higher rate of unplanned readmissions than acute myocardial infarction (AMI), heart failure, pneumonia, and chronic obstructive pulmonary disease (COPD). CMS uses 30-day readmission rates as a measure of quality of care and pays particular attention to AMI, heart failure, pneumonia, and COPD readmissions because they are frequent and costly.

Pages