News & Analysis

June 26, 2018
Medicare Web

With new attention on the care continuum, many new roles are being created to both complement the comprehensive needs of patients and ensure that licensed individuals have the opportunity to work at the top of their license. As a result, many organizations are adding positions called navigators or health coaches to provide more support to the patient and family around the logistics of care.

June 22, 2018
Case Management Monthly

If provisions of the 2019 IPPS proposed rule related to admission orders become a reality in October, case managers could be relieved of a big headache. If this portion of this rule is finalized, CMS would reverse the requirement that a physician’s order must be in the medical record for the hospital to bill for inpatient services under Medicare Part A.

June 20, 2018
Medicare Web

How can case managers and social workers assist patients in lowering medication costs?

June 19, 2018
Medicare Web

In a continued effort to combat the opioid epidemic, CMS released a roadmap detailing its progress toward addressing the crisis as well as its plans for slowing opioid dependence. CMS noted that while the latest Centers for Disease Control and Prevention statistics indicate the opioid epidemic is not slowing down, efforts aimed at combatting the epidemic must continue.

June 15, 2018
Case Management Monthly

Does your performance under the HRRP truly reflect the quality of care at your organization? There can be vast differences in 30-day hospital readmission rates for patients and conditions studied under the Medicare program, compared to other patients at an organization.

June 13, 2018
Medicare Web

What guidelines can hospitals follow to establish ambulatory case management staffing ratios?

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