Hospital administrators often look at case managers when a patient stay exceeds targets. Length of stay is seen as case management’s responsibility—even though the factors that extend patient stays are often out of their control.
This week's note from the instructor is the second in a two-part series reviewing some of the major provisions in the 2019 Inpatient Prospective Payment System final rule. This week's note reviews changes to payment factors and meaningful measures.
Q: If we hire temporary nursing staff through a staffing agency, do they need to complete our facility’s HIPAA training, or can we consider the training the agency provides sufficient?
This week’s Medicare updates include the first annual report on the Next Generation Accountable Care Organization model, a Special Edition MLN Matters article on when to review opioid use with beneficiaries, the introduction of a new way for Part D plans to manage formulary designs and options, and more!
Patient matching—associating the right patient with the right medical record—isn’t a new problem, but as the practice of medicine and reimbursement models become more data-driven, the stakes will continue to rise.
