For case managers, some of the most challenging patients are those with multiple chronic conditions, and ensuring effective care and preventing avoidable readmissions requires coordination, communication, and consistent follow-up.
Many outpatient CDI professionals stepped into their roles blind—not knowing where to begin or how to tell if they were successful. However, as programs mature, they need to be able to track their progress for a number of reasons, including focusing physician education and justifying continued funding from organizational leadership.
A case manager returns to work at the start of the new year only to find that two of his patients’ commercial insurances had implemented new discharge planning and utilization review rules effective January 1.
Q: At the doctor's office where I work, patients are often friends or family members of staff. I heard in passing that my co-worker's boyfriend was coming in for an appointment later that day, when I mentioned it to the co-worker, she said she would be filing a complaint for a HIPAA violation. Is this really a HIPAA violation?
