Denial prevention begins by establishing channels that lead to a systematic review of each patient’s admission.
The American Case Management Association (ACMA) Public Policy Committee is in communication with CMS to change the requirements for the second Important Message from Medicare (IM).
Case managers at Jennie Edmundson use an assessment tool to identify patients that are at a readmission risk.
Medicare rules require hospitals give patients a choice between postacute facilities. Learn how to document the choice was given.
No matter whom the CDI department reports to, collaboration between case managers and CDI specialists will improve patient care.
Use data to identify weakness in your case management department processes and reduce revenue cycle risk.
