This week’s updates include new waived tests; appeals of claims decisions, revisions to timeliness requirements for forwarding misfiled appeal requests, reconsideration request form, and guidelines for writing appeals correspondence; and more!
Discharge planning has long been a challenge for organizations, but proposed revisions to Medicare'sConditions of Participation announced in November 2015 may make the process even more difficult.
Q: I am a certified case manager working in an acute care hospital. As part of our job requirements, when working in the emergency room (ER), we are asked to problem solve throughout the day. We often get requests for information on patients seen in the ER who have since been discharged.
Discharge planning has become more important in recent years. Not only is the government putting new focus on ensuring hospitals are helping patients to move to the next level of care more efficiently, but research shows that patients are safer and less likely to return to the hospital if these transitions are well managed.
