As you develop a case management program, recognize the importance of clarifying case management and coordination to the provider, payer, and consumer. It is also important to understand the basic and standardized roles of the RN case manager and clinical social worker.
Q: Is it permissible to take pictures of patients (including behavioral health) for identification purposes as a part of the registration process? Do the patients need to sign a consent form before their picture can be taken?
This week's note from the instructor reviews some of the major proposals in the 2019 Outpatient Prospective Payment System (OPPS) proposed rule and examines the impact these proposals may have on health systems.
Implementing a denial avoidance initiative can help facilities and health systems realize lost revenue, achieve cost savings, and improve an organization’s financial performance.
This week’s Medicare updates include the introduction of step therapy for Medicare Advantage plans, a correction to the Medicare Physician Fee Schedule proposed rule, a new 2019 benefit for the Next Generation ACO model, and more!
