News & Analysis

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. 

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.

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.

July 19, 2023
Case Management Monthly

Elizabeth Hogue, Esq., explains why it just got a little harder for the federal government to hold healthcare organizations liable under the False Claims Act.

July 12, 2023
Case Management Monthly

In their HCPro book The Hospital Guide to Contemporary Case Management, authors Stefani Daniels, RN, MSNA, ACM, CMAC, and Tiffany Ferguson, LMSW, CMAC, ACM, examine a critical question that many organizations ask when they are looking to hire—does a case manager really need to be a registered nurse?

July 5, 2023
Case Management Monthly

CMS recently released a list of the 43 drugs and biologicals with a lower coinsurance for 2023.

Pages