News & Analysis

September 1, 2011
Case Management Monthly

Medical City Hospital (MHC) in Dallas asked its core measurement teams for acute myocardial infarction (AMI), pneumonia, and heart failure to develop readmission reduction processes for each condition.

August 1, 2011
Case Management Monthly

Starting October 2012, Medicare will begin paying hospitals for quality measures, according to a CMS fact sheet released April 29.

August 1, 2011
Case Management Monthly

Hospitals may have a higher than expected readmission rate simply because they aren't properly billing cases that should be a leave of absence.

August 1, 2011
Case Management Monthly

Most facilities have a UR committee, but not all organizations have a fully functional UR committee.

July 1, 2011
Case Management Monthly

From the Important Message from Medicare to the discharge instructions, case managers juggle a myriad of forms throughout a patient stay. CMS added another form to the list when it implemented the face-to-face encounter requirement for home health referrals.

July 1, 2011
Case Management Monthly

An interrupted stay occurs when a patient is discharged from a long-term acute care hospital (LTAC) for treatment and services that are not available in the LTAC and after a specific number of days away from the LTAC, is readmitted to the same LTAC for further medical treatment.

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