Denial prevention begins by establishing channels that lead to a systematic review of each patient’s admission.
Medicare rules require hospitals give patients a choice between postacute facilities. Learn how to document the choice was given.
A patient's high-profile spouse makes discharge planning a challenge.
Case managers at Jennie Edmundson use an assessment tool to identify patients that are at a readmission risk.
Case managers can do their part to make sure their hospital's case-mix index is as high as possible.
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).