Case managers must be positioned (through the organizational structure) and must position themselves (through skills and knowledge) to be an instrumental and influential member of the team to support and monitor the development of a comprehensive and sustainable plan for the patient.
If your healthcare organization thinks distributing a Notice of Privacy Practices (NPP) form, ensuring patients acknowledge receiving it, and maintaining those acknowledgments is a burden, the government may agree with you.
Predicting CMS policies can be a foolhardy exercise, especially with a relatively new administration and frequent turnover at the highest levels of HHS over the last year. But it’s safe to say drug payment policy has been and will continue to be a focus of the current regime.
Healthcare providers are often confused about what a commercial or managed care payer would want in order to approve the claim. Much of this confusion comes from the timing of requirements to ensure reimbursement.
