This week’s note is a follow up to an earlier discussion on coverage of drugs under the various parts of Medicare. Click the link above for more information and an in-depth analysis.
At many hospitals the terms Utilization Management (UM) and Utilization Review (UR) are used interchangeably. Are they the same thing? No, they're not, according to Stefani Daniels, RN, MSNA, ACM, CMAC, and Ronald L. Hirsch, MD, FACP, CHCQM.
Case management in Alaska isn't for the faint of heart, according to Randi Ferrare, RN, BSN, interim director of case management and social work at Providence Alaska Medical Center. Some of the challenges force case managers at Providence Alaska to work a little harder and get a little more creative to meet the needs of its patient population. One innovative program at the hospital is its case management educator position.
When the placement agency called and said it was looking for an interim case management director in Alaska, and asked if she was interested, Randi Ferrare, RN, BSN, hesitated for just a moment.
Breaches of PHI are increasingly in the news and the value of the data stolen is high. The healthcare industry is a significant target when it comes to cyber crime. Standard credit monitoring or insurance does little when it comes to medical identity theft. MIDAS, offered by ID Experts®, is a tool that can assist payers in early detection of medical identify theft and reduce fraud, going where existing tools have yet to go. It is a solution that's unique in today's market.
Criminal attacks on the healthcare industry have increased 125% since 2010, and are now the leading cause of data breaches at healthcare organizations, according to the results of a study released by the Ponemon Institute in May 2015. At the same time, the study says many hospitals and business associates (BA) are unprepared and cannot ensure patients' privacy against these attacks.
