News & Analysis

October 1, 2010
Case Management Monthly

One setting alone doesn’t possess all the services required to fulfill a patient’s needs. Employees at each setting have different talents, skills, and knowledge needed to achieve all the care needs.

October 1, 2010
Case Management Monthly

To begin to think about separating the UR function from the case management role, you must question the validity of the functional model

October 1, 2010
Case Management Monthly

Several case managers have recently received denial letters from their regions’ Medicare Advantage (MA) for medically necessary readmissions.

September 1, 2010
Case Management Monthly

A case manager brings a stubborn physician to the hospital’s ethics committee

 

September 1, 2010
Case Management Monthly

The several different types of post-acute agencies (home health, nursing homes, hospices) and several individual agencies within those types can cause aggravation and, more importantly, delays.

September 1, 2010
Case Management Monthly

Hospital executives frequently use LOS to measure how well a case management staff performs, but there are other indicators, such as patient satisfaction and observation use, that prove department effectiveness.

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