News & Analysis

2024 IPPS final rule establishes homelessness as a complication or comorbidity

September 6, 2023
Case Management Monthly

The 2024 Inpatient Prospective Payment System (IPPS) final rule, released August 1, contains some good news for hospitals related to potential payment for certain social determinants of health.

Complex case: U-Haul transport strategy

August 30, 2023
Case Management Monthly

Kelly, a cardiac case manager, must coordinate a patient's discharge and difficult transfer plan.

Director’s desk: Getting into the nitty-gritty with patients

August 23, 2023
Case Management Monthly

As case managers review the medical record and interview the patient, family, and medical team, they must dig deep and ask hard questions to ensure any unforeseen financial or medical needs are met.

Five tips to help your organization defeat denials

August 16, 2023
Case Management Monthly

Every facility wants to prevent denials. But in this short-staffed era, it can be difficult to consistently ensure that claims are accurate. 

The 2024 OPPS proposed rule brings few changes for case managers

August 2, 2023
Case Management Monthly

If it’s true that no news is good news, then the 2024 Outpatient Prospective Payment System (OPPS) proposed rule should make case managers very happy.

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.

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